Provider Demographics
NPI:1003374109
Name:COLLIN COUNTY ANESTHESIA CONSULTANTS PLLC
Entity Type:Organization
Organization Name:COLLIN COUNTY ANESTHESIA CONSULTANTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNA
Authorized Official - Prefix:
Authorized Official - First Name:TANITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ULANOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-709-1904
Mailing Address - Street 1:3330 EARHART DR STE 206
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-5041
Mailing Address - Country:US
Mailing Address - Phone:972-991-9950
Mailing Address - Fax:
Practice Address - Street 1:7709 SAN JACINTO PL STE 101
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3366
Practice Address - Country:US
Practice Address - Phone:214-709-1904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty