Organization
PRIME ANESTHESIA GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNEY MUSA (MANAGER)
(972) 636-5727
Entity
Organization
Contact information
Practice address
5520 LBJ FWY STE 100, DALLAS, TX 75240-6246
(972) 636-5727
(972) 331-8668
Mailing address
5520 LBJ FWY STE 100, DALLAS, TX 75240-6246
(972) 636-5727
(972) 331-8668
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M6355
TX
Other
Enumeration date
11/16/2015
Last updated
03/17/2016
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