Provider Demographics
NPI:1376085951
Name:VICEROY ANESTHESIA ASSOCIATES PLLC
Entity Type:Organization
Organization Name:VICEROY ANESTHESIA ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:BABER
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-954-1469
Mailing Address - Street 1:PO BOX 340
Mailing Address - Street 2:5729 LEBANON RD. STE. 144
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034
Mailing Address - Country:US
Mailing Address - Phone:972-954-1469
Mailing Address - Fax:469-283-2743
Practice Address - Street 1:3140 LEGACY DR STE 310
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9383
Practice Address - Country:US
Practice Address - Phone:972-954-1472
Practice Address - Fax:972-476-1849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-14
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty