# EMPIRE ANESTHESIA, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730746215
- **Authorized official:** DR. GARY D MARTIN JR. DC (MANAGER)
- **Authorized official phone:** (214) 390-7697

## Contact information

- **Practice address:** 128 N HIGHWAY 77, WAXAHACHIE, TX 75165-1800
- **Practice address phone:** (972) 938-7319
- **Practice address fax:** (972) 665-6557
- **Mailing address:** PO BOX 250509, PLANO, TX 75025-0509
- **Mailing address phone:** (214) 390-7697
- **Mailing address fax:** (888) 770-6360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367H00000X | Anesthesiologist Assistant | — | NULL | Yes |
| 367H00000X | Anesthesiologist Assistant | — | — | Yes |

## Other

- **Enumeration date:** 05/21/2019
- **Last updated:** 11/17/2020