Organization
FRONTIER ANESTHESIA MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY WALLS (PRESIDENT)
(972) 234-4740
Entity
Organization
Contact information
Practice address
2001 COOPER ST, FORT WORTH, TX 76104-2529
(972) 234-4740
(972) 231-7095
Mailing address
PO BOX 674394, DALLAS, TX 75267-4394
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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