Healthcare Provider Details

I. General information

NPI: 1902606080
Provider Name (Legal Business Name): UNITED ANESTHESIOLOGY AND PAIN MANAGEMENT CONSULTANTS OF TX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2025
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5001 ROWLETT RD # 7
ROWLETT TX
75088-3602
US

IV. Provider business mailing address

5001 ROWLETT RD # 7
ROWLETT TX
75088-3602
US

V. Phone/Fax

Practice location:
  • Phone: 972-412-5299
  • Fax: 469-453-3374
Mailing address:
  • Phone: 972-412-5299
  • Fax: 469-453-3374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: ARIF KHAN
Title or Position: SOLE MEMBER
Credential: MD
Phone: 203-528-7398