Provider Demographics
NPI:1922549591
Name:PATHWAYS ANESTHESIA INSTITUTE PLLC
Entity Type:Organization
Organization Name:PATHWAYS ANESTHESIA INSTITUTE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:MOSHE
Authorized Official - Middle Name:
Authorized Official - Last Name:FELDHENDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-500-5755
Mailing Address - Street 1:PO BOX 797923
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75379-7923
Mailing Address - Country:US
Mailing Address - Phone:214-500-5755
Mailing Address - Fax:
Practice Address - Street 1:17330 PRESTON RD
Practice Address - Street 2:SUITE 200 D
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5997
Practice Address - Country:US
Practice Address - Phone:214-500-5755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251302367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist AssistantGroup - Single Specialty