Organization
U S ANESTHESIA PARTNERS OF TEXAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ANN JOLLEY (DIRECTOR OF CREDENTIALING)
(713) 458-4169
Entity
Organization
Contact information
Practice address
17051 DALLAS PKWY STE 310, ADDISON, TX 75001
(972) 572-6101
(972) 572-6104
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/02/2018
Last updated
05/30/2018
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