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Organization
SUPERIOR ANESTHESIA MANAGEMENT, LLC.
Active
Organization
SUPERIOR ANESTHESIA MANAGEMENT, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY WALLS (PRESIDENT)
(972) 234-4740
Entity
Organization
Contact information
Practice address
17051 DALLAS PKWY, SUITE 100, ADDISON, TX 75001-7109
(972) 234-4740
(972) 231-7095
Mailing address
PO BOX 674018, DALLAS, TX 75267-4018
(972) 234-4740
(972) 231-7095
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130152
TX
Other
Enumeration date
04/12/2017
Last updated
04/17/2017
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