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Organization
TRAKMD ANESTHESIA
Active
Organization
TRAKMD ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIZWANA THANAWALA (ADMIN)
(214) 390-7697
Entity
Organization
Contact information
Practice address
4367 NW AMERICAN LN, LAKE CITY, FL 32055-4828
(214) 390-7697
(972) 432-6692
Mailing address
960 RIDGEVIEW DR STE 140-274, ALLEN, TX 75013-5542
(214) 390-7697
(972) 432-6692
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
09/01/2021
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