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Organization
TARRANT ANESTHESIA, PA
Active
Organization
TARRANT ANESTHESIA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP T EVANS D.O. (DOCTOR)
(817) 294-7444
Entity
Organization
Contact information
Practice address
12001 S. FWY, SUITE 101, BURLESON, TX 76028
(817) 615-4400
Mailing address
PO BOX 11219, FORT WORTH, TX 76110-0219
(817) 294-7444
(817) 294-7172
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C75T
BCBS
TX
01
—
00NN42
BCBS
TX
Enumeration date
08/16/2006
Last updated
10/28/2008
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