Organization
DFW SEDATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRETT MAYFIELD (CEO)
(817) 360-4853
Entity
Organization
Contact information
Practice address
461 WESTPARK WAY, EULESS, TX 76040
(817) 360-4853
Mailing address
PO BOX 822207, NORTH RICHLAND HILLS, TX 76182-2207
(817) 360-4853
(949) 862-7682
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C3F3
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/27/2017
Last updated
03/31/2022
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