Provider Demographics
NPI:1083196711
Name:ANESTHESIAPRO MANAGEMENT LLC
Entity Type:Organization
Organization Name:ANESTHESIAPRO MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TU
Authorized Official - Middle Name:X
Authorized Official - Last Name:DAO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-926-6355
Mailing Address - Street 1:PO BOX 800129
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75380-0129
Mailing Address - Country:US
Mailing Address - Phone:888-324-7432
Mailing Address - Fax:
Practice Address - Street 1:5601 CHAMPIONS DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4229
Practice Address - Country:US
Practice Address - Phone:214-926-6355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-29
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty