Organization
LEGACY TEXAS ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM SIVARAMAN (BILLING MANAGER)
(214) 618-5600
Entity
Organization
Contact information
Practice address
5616 WARREN PKWY, SUITE 101, FRISCO, TX 75034-4166
(214) 618-5600
(214) 618-7733
Mailing address
5616 WARREN PKWY, SUITE 101, FRISCO, TX 75034-4166
(214) 618-5600
(214) 618-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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