Organization
GREATER DALLAS ANESTHESIA &PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TASNEEM K. AGHA M.D. (OWNER-DIRECTOR)
(940) 458-2828
Entity
Organization
Contact information
Practice address
105 N. STEMMONS FREEWAY, SUITE 101, SANGER, TX 76266-0640
(940) 458-2828
(940) 458-2522
Mailing address
PO BOX 640, SANGER, TX 76266-0640
(940) 458-2828
(940) 458-2522
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K4347
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8A4960
BC-BS PROVIDER#
TX
Enumeration date
01/26/2007
Last updated
08/22/2020
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