Organization
ACCESS ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY TYDLASKA (PRESIDENT)
(817) 294-7444
Entity
Organization
Contact information
Practice address
5744 LYNDON B JOHNSON FWY, DALLAS, TX 75240-6322
(972) 490-4333
Mailing address
3863 SW LOOP 820, SUITE 300, FORT WORTH, TX 76113
(817) 294-7444
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
052014
TX
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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