Organization
ALLIANCE ANESTHESIA ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH BEARD (CLIENT LIASON)
(817) 334-0530
Entity
Organization
Contact information
Practice address
750 12TH AVE, DEPT OF ANESTHESIOLOGY, FORT WORTH, TX 76104-2517
(817) 529-1920
(817) 334-0235
Mailing address
PO BOX 161785, FORT WORTH, TX 76161-1785
(817) 529-1920
(817) 334-0235
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161648401
—
TX
Enumeration date
05/08/2006
Last updated
12/28/2010
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