Organization
ENDO SEDATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI WHEELER (ANESTHESIA SUPPORT SERVICES COORD)
(817) 402-7526
Entity
Organization
Contact information
Practice address
950 N 14TH ST STE 200, BEAUMONT, TX 77702-1112
(409) 833-5555
Mailing address
550 RESERVE ST STE 560, SOUTHLAKE, TX 76092-1607
(817) 402-7526
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
10/11/2021
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