Provider Demographics
NPI:1326229378
Name:SANDEEP A. GARG, M.D., P.A.
Entity Type:Organization
Organization Name:SANDEEP A. GARG, M.D., P.A.
Other - Org Name:APEX ANESTHESIA ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDEEP
Authorized Official - Middle Name:A
Authorized Official - Last Name:GARG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-369-6887
Mailing Address - Street 1:PO BOX 36289
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-1289
Mailing Address - Country:US
Mailing Address - Phone:214-369-6887
Mailing Address - Fax:214-369-6887
Practice Address - Street 1:4802 DORSET RD
Practice Address - Street 2:222
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75229-6504
Practice Address - Country:US
Practice Address - Phone:214-369-6887
Practice Address - Fax:214-369-6887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1274334-01Medicaid
TX00788XMedicare PIN