MEDICARE: TRIBAL ANESTHESIA

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
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1548139561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIBAL ANESTHESIA

Provider Business Mailing Address
First Line	:	PO BOX 190835
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-0835
Country	:	US
Telephone Number	:	469-601-9816
Fax Number	:

Provider Business Practice Location Address
First Line	:	5510 ABRAMS RD
Second Line	:	STE 119B
City	:	DALLAS
State	:	TX
Zip	:	75214
Country	:	US
Telephone Number	:	469-601-9816
Fax Number	:

Authorized Official
Title or Position	:	SVP HR
Name	:	TARA STANFIELD
Credential	:
Telephone Number	:	214-404-6061

Provider Enumeration Date	:	10/30/2025
Last Update Date	:	12/02/2025

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Directions to “TRIBAL ANESTHESIA ” Practice Location

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