# PATENT ANESTHESIA PLLC

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

## Provider details

- **NPI number:** 1992272702
- **Authorized official:** MR. JAMAL OTULA (REGISTERED AGENT)
- **Authorized official phone:** (972) 310-7121

## Contact information

- **Practice address:** 17950 PRESTON RD STE 75, DALLAS, TX 75252-5634
- **Practice address phone:** (972) 267-5400
- **Mailing address:** 5520 LBJ FWY STE 200, DALLAS, TX 75240-6381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 367H00000X | Anesthesiologist Assistant | — | NULL | Yes |
| 367H00000X | Anesthesiologist Assistant | — | — | Yes |

## Other

- **Enumeration date:** 10/30/2018
- **Last updated:** 11/12/2020