Organization
MICHIGAN ANESTHESIA CARE ONE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
13601 PRESTON RD, 1000W, DALLAS, TX 75240-4911
(972) 715-5000
Mailing address
PO BOX 660857, DALLAS, TX 75266-0857
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
10/07/2010
Last updated
06/18/2020
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