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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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