MEDICARE: NCAC ANESTHESIA CONSULTANTS, 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
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1558329284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NCAC ANESTHESIA CONSULTANTS, PA

Provider Business Mailing Address
First Line	:	PO BOX 678403
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75267-8403
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5001 SPRING VALLEY RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-3946
Country	:	US
Telephone Number	:	972-934-1858
Fax Number	:

Authorized Official
Title or Position	:	MD/PRESIDENT
Name	:	THOMAS ADAMS
Credential	:	MD
Telephone Number	:	972-934-1858

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	04/03/2009

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