Provider Demographics
NPI:1578023867
Name:SPECTRUM ANESTHESIA CONSULTANTS
Entity Type:Organization
Organization Name:SPECTRUM ANESTHESIA CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMEER
Authorized Official - Middle Name:
Authorized Official - Last Name:SYED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-370-5771
Mailing Address - Street 1:2024 W 15TH ST # F-365
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7363
Mailing Address - Country:US
Mailing Address - Phone:972-370-5771
Mailing Address - Fax:469-754-0416
Practice Address - Street 1:2024 W 15TH ST # F-365
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7363
Practice Address - Country:US
Practice Address - Phone:214-817-4226
Practice Address - Fax:469-754-0416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-22
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty