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NPI Code Detail

MEDICARE: RIVER VALLEY ANESTHESIA & PAIN MANAGEMENT,PA

MEDICARE: RIVER VALLEY ANESTHESIA & PAIN MANAGEMENT,PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianL6944TX

General Provider Information

NPI Number : 1083600076
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVER VALLEY ANESTHESIA & PAIN MANAGEMENT,PA
Provider Business Mailing Address
First Line : 4916 OVERTON PLZ
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4415
Country : US
Telephone Number : 800-270-2216
Fax Number : 817-334-0235
Provider Business Practice Location Address
First Line : 4916 OVERTON PLZ
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4415
Country : US
Telephone Number : 800-270-2216
Fax Number : 817-334-0235
Authorized Official
Title or Position : PRESIDENT
Name : DR. HOWARD R. HOLBROOKS
Credential : M.D.
Telephone Number : 800-270-2216
Provider Enumeration Date : 09/23/2005
Last Update Date : 08/22/2020

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Directions to “RIVER VALLEY ANESTHESIA & PAIN MANAGEMENT,PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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