Provider Demographics
NPI:1942503818
Name:COWTOWN ANESTHESIA SERIVCES, L.L.P.
Entity Type:Organization
Organization Name:COWTOWN ANESTHESIA SERIVCES, L.L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DEWAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-294-7444
Mailing Address - Street 1:6445 HARRIS PKWY
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-4138
Mailing Address - Country:US
Mailing Address - Phone:817-294-7444
Mailing Address - Fax:817-423-9060
Practice Address - Street 1:6445 HARRIS PKWY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4138
Practice Address - Country:US
Practice Address - Phone:817-294-7444
Practice Address - Fax:817-423-9060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-14
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty