Provider Demographics
NPI:1619564820
Name:BATALAS, LLC
Entity Type:Organization
Organization Name:BATALAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:THOMPSON
Authorized Official - Last Name:WIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-819-9600
Mailing Address - Street 1:12655 N. CENTRAL EXPY #650
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243
Mailing Address - Country:US
Mailing Address - Phone:214-819-9600
Mailing Address - Fax:214-819-9601
Practice Address - Street 1:12655 N. CENTRAL EXPY #650
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243
Practice Address - Country:US
Practice Address - Phone:214-819-9600
Practice Address - Fax:214-819-9601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty