Provider Demographics
NPI:1518008911
Name:ANA FREED-SIGURDSSON, MD, PA
Entity Type:Organization
Organization Name:ANA FREED-SIGURDSSON, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:FREED-SIGURDSSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-374-3850
Mailing Address - Street 1:12221 MERIT DR
Mailing Address - Street 2:SUITE 460
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-2202
Mailing Address - Country:US
Mailing Address - Phone:469-374-3850
Mailing Address - Fax:469-374-3851
Practice Address - Street 1:12221 MERIT DR
Practice Address - Street 2:SUITE 460
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-2202
Practice Address - Country:US
Practice Address - Phone:469-374-3850
Practice Address - Fax:469-374-3851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty