Organization
ROSELAND ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MICHAEL WAGES MD (MEDICAL DIRECTOR)
(903) 592-6000
Entity
Organization
Contact information
Practice address
1802 MOORES LN STE 200, TEXARKANA, TX 75503-4609
(903) 306-0711
Mailing address
2737 S BROADWAY AVE, TYLER, TX 75701-5413
(903) 592-6000
(903) 592-3224
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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