Healthcare Provider Details

I. General information

NPI: 1033667308
Provider Name (Legal Business Name): BARRONS ANESTHESIA ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2016
Last Update Date: 01/13/2020
Certification Date: 01/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 MEDICAL PLAZA DR SUITE 130
SPRING TX
77380-3241
US

IV. Provider business mailing address

PO BOX 250168
PLANO TX
75025-0168
US

V. Phone/Fax

Practice location:
  • Phone: 281-806-5758
  • Fax: 281-964-5738
Mailing address:
  • Phone: 214-390-7697
  • Fax: 972-432-6692

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: THERESA MARIE BAILEY
Title or Position: ADMINISTRATION
Credential:
Phone: 972-954-1469