Provider Demographics
NPI:1760921621
Name:CORE ANESTHESIA PARTNERS PLLC
Entity Type:Organization
Organization Name:CORE ANESTHESIA PARTNERS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:REMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-326-5151
Mailing Address - Street 1:6020 W PARKER RD
Mailing Address - Street 2:330B
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8171
Mailing Address - Country:US
Mailing Address - Phone:469-326-5151
Mailing Address - Fax:469-326-5132
Practice Address - Street 1:6020 W PARKER RD
Practice Address - Street 2:330B
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8171
Practice Address - Country:US
Practice Address - Phone:469-326-5151
Practice Address - Fax:469-326-5132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-13
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4985207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF69350Medicare UPIN