Provider Demographics
NPI:1992364525
Name:NORTHEAST ANESTHESIA ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:NORTHEAST ANESTHESIA ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BABER
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-435-4002
Mailing Address - Street 1:3004 COMMUNICATIONS PKWY STE 200-140
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8909
Mailing Address - Country:US
Mailing Address - Phone:214-390-7697
Mailing Address - Fax:972-432-6692
Practice Address - Street 1:920 S BELT LINE RD STE 250
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-4884
Practice Address - Country:US
Practice Address - Phone:972-954-1469
Practice Address - Fax:469-283-2743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-07
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty