Healthcare Provider Details

I. General information

NPI: 1255876819
Provider Name (Legal Business Name): ANESTHESIA CONCEPTS, PLLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2017
Last Update Date: 01/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5960 W PARKER RD #278-199
PLANO TX
75093-7767
US

IV. Provider business mailing address

PO BOX 568
MUNCIE IN
47308-0568
US

V. Phone/Fax

Practice location:
  • Phone: 469-910-8800
  • Fax:
Mailing address:
  • Phone: 765-284-0493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: STEVE COURTNEY
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 765-284-0493