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Organization
PSB ANESTHESIA PA
Active
Organization
PSB ANESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN WALTERS MD (PARTNER/PHYSICIAN)
(214) 888-3900
Entity
Organization
Contact information
Practice address
17051 DALLAS PKWY STE 300, ADDISON, TX 75001-7105
(214) 888-3900
Mailing address
PO BOX 1889, MUNCIE, IN 47308-1889
(765) 284-0493
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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