Provider Demographics
NPI:1003380767
Name:FORTY WINKS ANESTHESIA, PLLC
Entity Type:Organization
Organization Name:FORTY WINKS ANESTHESIA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADNAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NADIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-939-2121
Mailing Address - Street 1:4221 MEDICAL PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4545
Mailing Address - Country:US
Mailing Address - Phone:972-939-2121
Mailing Address - Fax:972-939-2120
Practice Address - Street 1:4221 MEDICAL PKWY STE 150
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4545
Practice Address - Country:US
Practice Address - Phone:972-939-2121
Practice Address - Fax:972-939-2120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty