Provider Demographics
NPI:1205208410
Name:KEYSTONE ANESTHESIA PARTNERS PLLC
Entity Type:Organization
Organization Name:KEYSTONE ANESTHESIA PARTNERS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZSOHAR
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:817-342-0232
Mailing Address - Street 1:1000 N DAVIS DR
Mailing Address - Street 2:SUIITE C
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-3202
Mailing Address - Country:US
Mailing Address - Phone:817-342-0232
Mailing Address - Fax:817-275-1401
Practice Address - Street 1:1000 N DAVIS DR
Practice Address - Street 2:SUIITE C
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-3202
Practice Address - Country:US
Practice Address - Phone:817-342-0232
Practice Address - Fax:817-275-1401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5991207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty