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General NPI Number Information
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NPI Number | 1205645959
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Entity Type | Organization
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Legal Business Name | DFW ANESTHESIA CONSULTANTS PLLC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 6901 SNIDER PLZ STE 300
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City | DALLAS
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State | TX
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Zip | 75205-5650
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Country | US
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Telephone | 817-516-8811
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Fax | 817-516-8444
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Provider Business Mailing Address
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Address Line | 3737 STANFORD AVE
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City | DALLAS
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State | TX
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Zip | 75225-7204
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Country | US
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Telephone | 817-516-8811
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Fax | 817-516-8444
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL MULLENS
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Credential |
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Telephone | 214-864-5812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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