# PATRIOT ANESTHESIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346541869
- **Authorized official:** JAMES MARTIN BASHAW CRNA (PRESIDENT)
- **Authorized official phone:** (405) 926-7348

## Contact information

- **Practice address:** 1800 W UNIVERSITY BLVD, DURANT, OK 74701-3006
- **Practice address phone:** (405) 926-7348
- **Practice address fax:** (405) 207-9956
- **Mailing address:** 35907 E COUNTY ROAD 1600, PAULS VALLEY, OK 73075-9070
- **Mailing address phone:** (405) 926-7348
- **Mailing address fax:** (405) 207-9956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 75945 | OK | Yes |

## Other

- **Enumeration date:** 11/15/2010
- **Last updated:** 06/22/2011