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Organization
TIMOTHY ROSS LEE, PC
Active
Organization
TIMOTHY ROSS LEE, PC
Active
Other names
Maverick Anesthesia Services, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BERTA AGUIAR (BILLING COORDINATOR)
(972) 416-6775
Entity
Organization
Contact information
Practice address
5327 N CENTRAL EXPY, SUITE 200, DALLAS, TX 75205-3361
(214) 520-8235
Mailing address
2840 KELLER SPRINGS RD, SUITE 401, CARROLLTON, TX 75006-4829
(972) 416-6775
(972) 417-9624
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
253403
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C88S
BCBS
TX
Enumeration date
01/29/2007
Last updated
08/22/2020
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