Organization
CLEAR ANESTHETIC SOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN J SKULPOONKITTI DO (OWNER)
(682) 478-8123
Entity
Organization
Contact information
Practice address
6311 SOUTHWEST BLVD, BENBROOK, TX 76132
(682) 478-8123
Mailing address
6387 CAMP BOWIE BLVD, STE B PMB-440, FORT WORTH, TX 76116
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
08/13/2018
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