Organization
COWBOY ANESTHESIA SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT REED (PARTNER)
(800) 444-6110
Entity
Organization
Contact information
Practice address
10141 US 59 HWY, WHARTON, TX 77488
(800) 444-6110
Mailing address
PO BOX 570, LAKE FOREST, IL 60045-0570
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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