Organization
NORTHEASTERN ANESTHESIA SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER ALLAN FROST CRNA (PRESIDENT)
(972) 875-0900
Entity
Organization
Contact information
Practice address
803 W LAMPASAS, ENNIS, TX 75119
(972) 875-0900
Mailing address
PO BOX 388, NEWTON, KS 67114-0388
(316) 281-3700
(316) 282-4322
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/01/2006
Last updated
08/22/2020
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