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Organization

NOVA ANESTHESIA PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRUNG HA MD (OWNER/AUTHORIZED OFFICIAL)
(469) 913-6136
Entity
Organization

Contact information

Practice address
1451 W AIRPORT FWY STE 1, IRVING, TX 75062-6223
(469) 913-6136
Mailing address
PO BOX 1889, MUNCIE, IN 47308-1889
(765) 284-0493
(765) 284-2434

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
03/17/2021
Last updated
03/17/2021
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