Provider Demographics
NPI:1922349208
Name:ALS ANESTHESIA, PLLC
Entity Type:Organization
Organization Name:ALS ANESTHESIA, PLLC
Other - Org Name:ALS ANESTHESIA, PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:TINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-916-4685
Mailing Address - Street 1:5005 W ROYAL LN
Mailing Address - Street 2:STE 196
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-1996
Mailing Address - Country:US
Mailing Address - Phone:817-485-5100
Mailing Address - Fax:817-485-5101
Practice Address - Street 1:5005 W ROYAL LN
Practice Address - Street 2:STE 196
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-1996
Practice Address - Country:US
Practice Address - Phone:817-485-5100
Practice Address - Fax:817-485-5101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-11
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty