Provider Demographics
NPI:1538638150
Name:EAST ANESTHESIA ASSOCIATES PLLC
Entity Type:Organization
Organization Name:EAST ANESTHESIA ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ARAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ABOHAIJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-954-1472
Mailing Address - Street 1:3004 COMMUNICATIONS PKWY STE 200-142
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8909
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3140 LEGACY DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-7917
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:2018-11-14
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty