Organization
GARLAND ANESTHESIA
Active
Other names
GREENVILLE ANESTHESIA
Organization subpart
No
Provider details
NPI number
Authorized official
TERRIE BURSON (ADMINISTRATOR)
(972) 276-6100
Entity
Organization
Contact information
Practice address
1721 ANALOG DR, RICHARDSON, TX 75081-1944
(972) 276-6100
Mailing address
700 WALTER REED BLVD, SUITE 305, GARLAND, TX 75042-3701
(972) 276-6100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088577403
—
TX
Enumeration date
02/26/2007
Last updated
01/03/2020
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