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Organization
SC ANESTHESIA SERVICES PLLC
Active
Organization
SC ANESTHESIA SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON BROCK CRNA (MANAGING PARTNER)
(225) 610-2051
Entity
Organization
Contact information
Practice address
2600 E SOUTHLAKE BLVD STE 120-184, SOUTHLAKE, TX 76092-6634
(225) 610-2051
Mailing address
2600 E SOUTHLAKE BLVD STE 120-184, SOUTHLAKE, TX 76092-6634
(225) 610-2051
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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