Organization
UAP NASHVILLE ENDOSCOPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENETHA D MORAN (OFFICER/AUTHORIZED OFFICIAL)
(972) 763-3893
Entity
Organization
Contact information
Practice address
300 20TH AVE N, NASHVILLE, TN 37203-2131
(615) 284-1335
(615) 284-1316
Mailing address
15305 DALLAS PKWY, SUITE 1600, ADDISON, TX 75001-4637
(972) 763-3893
(972) 692-6745
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
11/25/2013
Last updated
01/08/2014
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