Organization
BLUE DOG ANESTHESIA PA
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up