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Organization

TEXAS ANESTHESIA GROUP, PA

Active
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Organization

TEXAS ANESTHESIA GROUP, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. XIAO-EN FANG M.D. (PRESIDENT)
(888) 854-3822
Entity
Organization

Contact information

Practice address
100 HIGHLAND PARK VLG, SUITE 206, DALLAS, TX 75205-2722
(888) 854-3822
(972) 233-0372
Mailing address
4916 OVERTON PLZ, FORT WORTH, TX 76109-4415
(817) 529-1923
(817) 334-0899

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J0828
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0017MU
GROUP BLUE C BLUE S TX
TX
05
173914601
TX
Enumeration date
08/22/2005
Last updated
08/27/2008
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