Provider Demographics
NPI:1679062921
Name:PAPILLON ANESTHESIA PLLC
Entity Type:Organization
Organization Name:PAPILLON ANESTHESIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANA YAW
Authorized Official - Middle Name:
Authorized Official - Last Name:APPIAH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:469-734-7878
Mailing Address - Street 1:25 HIGHLAND PARK VLG STE 100-829
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-2789
Mailing Address - Country:US
Mailing Address - Phone:469-734-7878
Mailing Address - Fax:877-496-2375
Practice Address - Street 1:1401 ELM ST
Practice Address - Street 2:SUITE 3411
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75202
Practice Address - Country:US
Practice Address - Phone:469-734-7878
Practice Address - Fax:877-496-2375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-02
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty