Provider Demographics
NPI:1679190524
Name:CALLIE ANESTHESIA PLLC
Entity Type:Organization
Organization Name:CALLIE ANESTHESIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:VUDHI
Authorized Official - Middle Name:V
Authorized Official - Last Name:SLABISAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-567-6595
Mailing Address - Street 1:4090 MAPLESHADE LN STE 100
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-0025
Mailing Address - Country:US
Mailing Address - Phone:214-390-7697
Mailing Address - Fax:214-592-9935
Practice Address - Street 1:4090 MAPLESHADE LN STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-0025
Practice Address - Country:US
Practice Address - Phone:214-390-7697
Practice Address - Fax:888-770-6360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-26
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty