Organization
U S ANESTHESIA PARTNERS OF TEXAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY JOLLEY (DIRECTOR OF CREDENTIALING)
(713) 620-4000
Entity
Organization
Contact information
Practice address
1545 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6422
(817) 354-8697
(817) 545-2015
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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