Organization
GASTRO ANESTHESIA PLLC
Active
Organization
GASTRO ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI WHEELER (ANESTHESIA SUPPORT SERVICES)
(817) 402-7526
Entity
Organization
Contact information
Practice address
4200 N RODNEY PARHAM RD, SUITE 203, LITTLE ROCK, AR 72212-2461
(817) 402-7526
(817) 912-1887
Mailing address
550 RESERVE ST STE 560, SOUTHLAKE, TX 76092-1607
(817) 402-7526
(817) 912-1887
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/03/2012
Last updated
01/06/2023
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