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NPI Code Detail

MEDICARE: WHARTON ANESTHESIA PA

MEDICARE: WHARTON ANESTHESIA 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 Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1050006528OTHERTXRAILROAD MEDICARE

General Provider Information

NPI Number : 1205810843
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHARTON ANESTHESIA PA
Provider Business Mailing Address
First Line : PO BOX 1276
Second Line :
City : STEPHENVILLE
State : TX
Zip : 76401-0012
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 411 N BELKNAP ST
Second Line :
City : STEPHENVILLE
State : TX
Zip : 76401-3415
Country : US
Telephone Number : 713-481-3533
Fax Number : 713-432-0221
Authorized Official
Title or Position : OWNER
Name : DR. TIMOTHY ZBORIL
Credential :
Telephone Number : 713-481-3533
Provider Enumeration Date : 12/06/2005
Last Update Date : 03/20/2009

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Directions to “WHARTON ANESTHESIA PA ” Practice Location

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