Organization
BLUE DOG ANESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS P. KENJARSKI MD (PRESIDENT/CEO)
(214) 564-4972
Entity
Organization
Contact information
Practice address
2929 AMHERST AVE, DALLAS, TX 75225-7806
(214) 564-4972
Mailing address
4100 INTERNATIONAL PLZ, SUITE 600, FORT WORTH, TX 76109-4820
(817) 334-0530
(817) 877-0350
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
TX
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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