Provider Demographics
NPI:1750676417
Name:CHOICE ANESTHESIA
Entity type:Organization
Organization Name:CHOICE ANESTHESIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:J
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-379-2601
Mailing Address - Street 1:PO BOX 271733
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75027-1733
Mailing Address - Country:US
Mailing Address - Phone:469-379-2601
Mailing Address - Fax:469-242-3025
Practice Address - Street 1:8041 N MACARTHUR BLVD
Practice Address - Street 2:UNIT 2177
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-4102
Practice Address - Country:US
Practice Address - Phone:469-379-2601
Practice Address - Fax:469-252-7647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-10
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty