Provider Demographics
NPI:1700216074
Name:NORTH TEXAS AMBULATORY ANESTHESIA CONSULTANTS PLLC
Entity Type:Organization
Organization Name:NORTH TEXAS AMBULATORY ANESTHESIA CONSULTANTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IRANI
Authorized Official - Middle Name:S
Authorized Official - Last Name:EKANAYAKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-620-0813
Mailing Address - Street 1:1314 W MCDERMOTT DR
Mailing Address - Street 2:#106-809
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3021
Mailing Address - Country:US
Mailing Address - Phone:214-620-0813
Mailing Address - Fax:972-408-3468
Practice Address - Street 1:4510 MEDICAL CENTER DR
Practice Address - Street 2:SUITE C-150
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1650
Practice Address - Country:US
Practice Address - Phone:214-620-0183
Practice Address - Fax:888-770-6360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-22
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty