Provider Demographics
NPI:1730296476
Name:BMW ANESTHESIOLOGY, P.A.
Entity Type:Organization
Organization Name:BMW ANESTHESIOLOGY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:VOE
Authorized Official - Last Name:COTTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-566-6100
Mailing Address - Street 1:7777 FOREST LN
Mailing Address - Street 2:SUITE B-238
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2505
Mailing Address - Country:US
Mailing Address - Phone:972-566-6100
Mailing Address - Fax:972-566-6297
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:SUITE B-238
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2505
Practice Address - Country:US
Practice Address - Phone:972-566-6100
Practice Address - Fax:972-566-6297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX084939001Medicaid
TX084939001Medicaid