Provider Demographics
NPI:1417573486
Name:TRIANGLE ANESTHESIA CONSULTANTS LLC
Entity Type:Organization
Organization Name:TRIANGLE ANESTHESIA CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TERRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-232-4268
Mailing Address - Street 1:701 SUNRISE CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-3721
Mailing Address - Country:US
Mailing Address - Phone:214-232-4268
Mailing Address - Fax:
Practice Address - Street 1:701 SUNRISE CT
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-3721
Practice Address - Country:US
Practice Address - Phone:214-232-4268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-24
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty