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NPI Code Detail

MEDICARE: ACCORD ANESTHESIA PLLC

MEDICARE: ACCORD ANESTHESIA PLLC
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
1207LP2900XPain Medicine (Anesthesiology) PhysicianK7696TX
2367500000XCertified Registered Nurse Anesthetist680673TX

General Provider Information

NPI Number : 1366976441
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCORD ANESTHESIA PLLC
Provider Business Mailing Address
First Line : 182 INDUSTRIAL RD
Second Line :
City : GLEN ROCK
State : PA
Zip : 17327-2626
Country : US
Telephone Number : 717-759-4375
Fax Number : 717-759-4336
Provider Business Practice Location Address
First Line : 7200 OAKMONT BLVD
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-3902
Country : US
Telephone Number : 817-732-3300
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JASON MORNINGSTAR
Credential : CRNA
Telephone Number : 817-294-7444
Provider Enumeration Date : 04/17/2017
Last Update Date : 12/14/2022

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