Organization
LIBERTY ANESTHESIA MANAGEMENT PROFESSIONALS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECE PANNELL (OFF MGR)
(817) 294-7444
Entity
Organization
Contact information
Practice address
5316 W. PLANO PKWY, PLANO, TX 75093-4640
(972) 620-1700
Mailing address
P.O. BOX 2626, FORT WORTH, TX 76113-2626
(817) 294-7444
(817) 294-7172
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
633146
TX
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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