Organization
ANESTHESIA OF NORTH TEXAS, PA
Active
Other names
ANT
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE R STAFFORD (ADMINISTRATOR)
(817) 265-4844
Entity
Organization
Contact information
Practice address
1001 N WALDROP DR STE 701, ARLINGTON, TX 76012-4704
(817) 265-4844
(817) 265-1449
Mailing address
1001 N WALDROP DR STE 701, ARLINGTON, TX 76012-4704
(817) 265-4844
(817) 265-1449
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C07W
BLUECROSS/BLUE SHIELD
TX
05
—
11117101
—
TX
Enumeration date
12/24/2007
Last updated
12/10/2020
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