Organization
HAVENCREST ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY W EAST (ADMIN)
(214) 390-7697
Entity
Organization
Contact information
Practice address
16633 DALLAS PKWY STE 150, ADDISON, TX 75001-6812
(214) 390-7697
(888) 770-6360
Mailing address
960 RIDGEVIEW DRIVE STE 140 PMB 192, ALLEN, TX 75013
(214) 390-7697
(888) 770-6360
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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