Organization
U S ANESTHESIA PARTNERS OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY JOLLEY (DIRECTOR OF CREDENTIALING)
(713) 620-4000
Entity
Organization
Contact information
Practice address
4323 N JOSEY LN, PLAZA I SUITE 107, CARROLLTON, TX 75010-4633
(972) 386-2020
(972) 386-2154
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-1999
(972) 715-1996
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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