Provider Demographics
NPI:1942308549
Name:DALLAS ANESTHESIOLOGY GROUP PA
Entity Type:Organization
Organization Name:DALLAS ANESTHESIOLOGY GROUP PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CATALINA
Authorized Official - Middle Name:ESPURAUZA
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-725-1517
Mailing Address - Street 1:PO BOX 821388-314
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75382
Mailing Address - Country:US
Mailing Address - Phone:214-361-5680
Mailing Address - Fax:214-739-3358
Practice Address - Street 1:7622 ROYAL PL
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230
Practice Address - Country:US
Practice Address - Phone:214-361-5680
Practice Address - Fax:214-739-3358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00L27LOtherBLUE CROSS
10026006OtherAMERIGROUP
00L27LOtherBLUE CROSS
00L27LMedicare ID - Type Unspecified