Provider Demographics
NPI:1760841969
Name:ANESTHESIA PARTNERS OF DALLAS PA
Entity Type:Organization
Organization Name:ANESTHESIA PARTNERS OF DALLAS PA
Other - Org Name:ANESTHESIA PARTNERS OF DALLAS PA
Other - Org Type:Other Name
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-437-3564
Mailing Address - Street 1:14850 QUORUM DR STE 400
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-1445
Mailing Address - Country:US
Mailing Address - Phone:469-729-4524
Mailing Address - Fax:972-476-0277
Practice Address - Street 1:14850 QUORUM DR STE 400
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-1445
Practice Address - Country:US
Practice Address - Phone:469-729-4524
Practice Address - Fax:972-476-0277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-16
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty