Organization
MEDSTREAM ANESTHESIA PLLC
Active
Organization
MEDSTREAM ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH R ELLINGTON MD (OWNER)
(828) 398-5244
Entity
Organization
Contact information
Practice address
2221 LAKESIDE BLVD STE 600, RICHARDSON, TX 75082-4416
(828) 210-9386
Mailing address
2221 LAKESIDE BLVD STE 600, RICHARDSON, TX 75082-4416
(828) 210-9386
(828) 210-9388
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/13/2013
Last updated
04/08/2026
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