Organization
NUBE ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER GANO M.D. (ANESTHESIOLOGIST)
(214) 707-3634
Entity
Organization
Contact information
Practice address
4447 N CENTRAL EXPY, SUITE 110 #264, DALLAS, TX 75205-4245
(214) 707-3634
Mailing address
4447 N CENTRAL EXPY, SUITE 110 #264, DALLAS, TX 75205-4245
(214) 707-3634
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
P1642
TX
282N00000X
General Acute Care Hospital
P1642
TX
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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