Organization
MATX ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY K NICKELL (CFO)
(706) 623-6699
Entity
Organization
Contact information
Practice address
800 QUAIL CREEK DR, AMARILLO, TX 79124-1634
(800) 208-6014
(706) 850-7733
Mailing address
1090 EXPERIMENT STATION RD UNIT 529, WATKINSVILLE, GA 30677-5378
(800) 208-6014
(706) 850-7733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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