Organization
ANESTHESIA CONSULTANTS OF DALLAS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JAY WINGO M.D. (MANAGING PARTNER)
(214) 946-1133
Entity
Organization
Contact information
Practice address
221 W COLORADO BLVD, PAVILION II SUITE 845, DALLAS, TX 75208-2363
(214) 946-1133
(214) 946-3048
Mailing address
PO BOX 911589, DALLAS, TX 75391-1589
(214) 522-0210
(214) 522-0474
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095062801
—
TX
Enumeration date
05/11/2006
Last updated
09/28/2009
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