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General NPI Number Information
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NPI Number | 1659082006
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Entity Type | Organization
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Legal Business Name | PRINCIPAL ANESTHESIA CONSULTANTS PLLC
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Dates
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Enumeration Date | 12/07/2022
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1805 KINSALE DR
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City | KELLER
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State | TX
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Zip | 76262-9023
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Country | US
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Telephone | 817-966-2762
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Fax |
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Provider Business Mailing Address
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Address Line | 1805 KINSALE DR
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City | KELLER
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State | TX
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Zip | 76262-9023
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Country | US
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Telephone | 817-966-2762
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ROBERT LOUIS DELILLO
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Credential |
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Telephone | 817-966-2762
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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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