Organization
LIGHTHOUSE ANESTHESIA PLLC.
Active
Organization
LIGHTHOUSE ANESTHESIA PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIAO-EN FANG M.D. (OWNER/AUTH OFFICIAL)
(214) 642-0760
Entity
Organization
Contact information
Practice address
700 HIGHLANDER BLVD STE 415, ARLINGTON, TX 76015-4346
(817) 516-8811
(817) 516-8444
Mailing address
PO BOX 731475, DALLAS, TX 75373-1475
(817) 516-8811
(817) 516-8444
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
08/28/2019
Last updated
12/28/2023
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