Organization
INDEPENDENT ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL WEIR (PRINCIPAL)
(706) 425-2239
Entity
Organization
Contact information
Practice address
1720 S BECKHAM AVE, TYLER, TX 75701-4464
(706) 623-4271
(706) 225-7217
Mailing address
6094 14TH ST W, SUITE 189, BRADENTON, FL 34207-4104
(941) 360-1566
(941) 358-9818
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
03/05/2014
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