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General NPI Number Information
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NPI Number | 1699630509
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Entity Type | Organization
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Legal Business Name | MCON ANESTHESIA, PLLC
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 3625 N HALL ST STE 800
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City | DALLAS
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State | TX
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Zip | 75219-5106
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Country | US
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Telephone | 469-501-1164
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Fax | 214-252-0527
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Provider Business Mailing Address
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Address Line | 3824 CEDAR SPRINGS RD PMB#165
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City | DALLAS
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State | TX
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Zip | 75219-4136
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Country | US
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Telephone | 469-501-1164
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Fax | 214-252-0527
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | CHRISTOPHER MILLER
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Credential | MD
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Telephone | 713-416-0099
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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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