Provider Demographics
NPI:1346726114
Name:DALLAS ANESTHESIA TEAM PLLC
Entity Type:Organization
Organization Name:DALLAS ANESTHESIA TEAM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ABDUL AHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-605-3875
Mailing Address - Street 1:3861 LONG PRAIRIE RD STE 109
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1799
Mailing Address - Country:US
Mailing Address - Phone:214-605-3875
Mailing Address - Fax:
Practice Address - Street 1:300 S NOLEN DR STE 160
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-8054
Practice Address - Country:US
Practice Address - Phone:214-605-3875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-16
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty