Organization
ALTUS ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZA MOBARAK (ADMIN)
(214) 390-7697
Entity
Organization
Contact information
Practice address
4317 MAIZE DR, PLANO, TX 75093-3233
(214) 390-7697
(972) 432-6692
Mailing address
960 RIDGEVIEW DRIVE, STE 140 - 195, ALLEN, TX 75013
(214) 390-7697
(972) 432-6692
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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