Provider Demographics
NPI:1154832053
Name:INF ANESTHESIA, PLLC
Entity Type:Organization
Organization Name:INF ANESTHESIA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MDMS NPI COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LIZETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-598-2801
Mailing Address - Street 1:5706 E MOCKINGBIRD LN STE 115
Mailing Address - Street 2:#404
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5461
Mailing Address - Country:US
Mailing Address - Phone:972-370-5746
Mailing Address - Fax:
Practice Address - Street 1:5706 E MOCKINGBIRD LN STE 115
Practice Address - Street 2:#404
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5461
Practice Address - Country:US
Practice Address - Phone:972-370-5746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-18
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty