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Organization
THE ANESTHESIA BUTLER LLC
Active
Organization
THE ANESTHESIA BUTLER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECE PANNELL (BILLING MANAGER)
(817) 294-7444
Entity
Organization
Contact information
Practice address
1600 COIT RD STE 401A, PLANO, TX 75075-6173
(972) 566-6800
Mailing address
PO BOX 2626, FORT WORTH, TX 76113-2626
(817) 294-7444
(817) 294-7172
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
744496
NURSING LICENSE NUMBER
—
Enumeration date
04/08/2019
Last updated
04/08/2019
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