Organization
COVENANT ANESTHESIA MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALIA STEPHENSON CRNA (PRESIDENT)
(972) 533-0098
Entity
Organization
Contact information
Practice address
149 W STATE HIGHWAY 121 STE 105, COPPELL, TX 75019-2933
(972) 833-7246
Mailing address
1540 KELLER PKWY STE 108-423, KELLER, TX 76248-4601
(972) 522-0098
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/20/2025
Last updated
01/31/2026
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