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NPI Code Detail

MEDICARE: ZENITH ANESTHESIA PLLC

MEDICARE: ZENITH 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
1367500000XCertified Registered Nurse Anesthetist
2207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1497282594
Entity Type Code : Organization
Provider Name (Legal Business Name) : ZENITH ANESTHESIA PLLC
Provider Business Mailing Address
First Line : 700 HIGHLANDER BLVD STE 415
Second Line :
City : ARLINGTON
State : TX
Zip : 76015-4346
Country : US
Telephone Number : 817-516-8811
Fax Number : 817-516-8444
Provider Business Practice Location Address
First Line : 700 HIGHLANDER BLVD STE 415
Second Line :
City : ARLINGTON
State : TX
Zip : 76015-4346
Country : US
Telephone Number : 817-516-8811
Fax Number : 817-516-8444
Authorized Official
Title or Position : CREDENTIALING COORDINATOR
Name : JULI M SMITH
Credential : CPC
Telephone Number : 817-330-1102
Provider Enumeration Date : 05/19/2017
Last Update Date : 07/21/2022

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