Organization
KENTUCKIANA ANESTHESIOLOGY, PLLC
Active
Organization
KENTUCKIANA ANESTHESIOLOGY, PLLC
Active
Other names
Medical Anesthesia Partners
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY W MCWHORTER M.D. (PRESIDENT)
(214) 577-7635
Entity
Organization
Contact information
Practice address
5516 WEATHERBY LN, PLANO, TX 75093-3417
(214) 577-7635
(972) 612-5811
Mailing address
5516 WEATHERBY LN, PLANO, TX 75093-3417
(214) 577-7635
(972) 612-5811
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J5406
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062ZP
BLUE CROSS BLUE SHIELD OF TEXAS
TX
05
—
148622701
—
TX
05
—
148622702
—
TX
05
—
148622703
—
TX
01
—
148622704
MEDICAID CSHCN
TX
01
—
148622705
MEDICAID CSHCN
TX
01
—
7788421
CIGNA
—
01
—
8227M8
BCBS
TX
01
—
902840910
UNIED HEALTHCARE
—
Enumeration date
02/04/2014
Last updated
04/22/2016
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