Organization
PINNACLE ANESTHESIA CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND ROMO (PHYSICIANS SERVICES DIRECTOR)
(972) 715-5000
Entity
Organization
Contact information
Practice address
1545 E SOUTHLAKE BLVD, SUITE 220, SOUTHLAKE, TX 76092-6422
(972) 715-5000
Mailing address
PO BOX 650426, DALLAS, TX 75265-0426
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
04/20/2012
Last updated
06/12/2012
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