Organization
L D ANESTHESIA, P.A.
Active
Organization
L D ANESTHESIA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY J DULLYE II D.O. (PRESIDENT)
(214) 370-0790
Entity
Organization
Contact information
Practice address
621 N HALL ST, DALLAS, TX 75226-1339
(214) 820-3151
Mailing address
PO BOX 720395, DALLAS, TX 75372-0395
(469) 438-8053
(972) 690-7857
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007GH
BCBS TEXAS
TX
01
—
8A7510
BCBS TX
TX
Enumeration date
11/05/2007
Last updated
12/06/2007
Update your record
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