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Organization
PROFESSIONAL ANESTHESIA GROUP, LLC
Active
Organization
PROFESSIONAL ANESTHESIA GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN P WOODS MD (CHIEF MEDICAL OFFICER)
(214) 687-0015
Entity
Organization
Contact information
Practice address
1500 DIXON ST STE 101, FREDERICKSBURG, VA 22401-7231
(540) 371-5349
(540) 373-1745
Mailing address
PO BOX 222037, DALLAS, TX 75222-2037
(239) 610-0775
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
03/31/2008
Last updated
05/25/2021
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