Provider Demographics
NPI:1588201073
Name:GREATER TEXAS ANESTHESIA CONSULTANTS PLLC
Entity Type:Organization
Organization Name:GREATER TEXAS ANESTHESIA CONSULTANTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-588-4541
Mailing Address - Street 1:PO BOX 250989
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-0989
Mailing Address - Country:US
Mailing Address - Phone:972-588-4541
Mailing Address - Fax:469-304-0139
Practice Address - Street 1:4005 W 15TH ST
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5818
Practice Address - Country:US
Practice Address - Phone:972-519-1100
Practice Address - Fax:469-304-0139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-04
Last Update Date:2020-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty