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Organization
PATENT ANESTHESIA PLLC
Active
Organization
PATENT ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMAL OTULA (REGISTERED AGENT)
(972) 310-7121
Entity
Organization
Contact information
Practice address
17950 PRESTON RD STE 75, DALLAS, TX 75252-5634
(972) 267-5400
Mailing address
5520 LBJ FWY STE 200, DALLAS, TX 75240-6381
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
367H00000X
Anesthesiologist Assistant
Primary
—
NULL
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
11/12/2020
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