Provider Demographics
NPI:1346785953
Name:WEST PLANO ANESTHESIA PLLC
Entity Type:Organization
Organization Name:WEST PLANO ANESTHESIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REP
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MYOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-502-9981
Mailing Address - Street 1:PO BOX 261327
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75026-1327
Mailing Address - Country:US
Mailing Address - Phone:972-502-9981
Mailing Address - Fax:
Practice Address - Street 1:17051 DALLAS PKWY STE 100
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-7102
Practice Address - Country:US
Practice Address - Phone:972-502-9981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-05
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty