Healthcare Provider Details

I. General information

NPI: 1518453356
Provider Name (Legal Business Name): LEADING ANESTHESIA PARTNERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2018
Last Update Date: 10/24/2021
Certification Date: 10/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3151 W 15TH ST
PLANO TX
75075-7731
US

IV. Provider business mailing address

3151 W 15TH ST STE B
PLANO TX
75075-7731
US

V. Phone/Fax

Practice location:
  • Phone: 972-765-2346
  • Fax:
Mailing address:
  • Phone: 972-370-5771
  • Fax: 972-674-2788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: SAMEER SYED
Title or Position: MEMBER
Credential: MD
Phone: 972-765-2346