Organization
PARKHILL PHYSICIAN GROUP, PLLC
Active
Other names
Aegis Anesthesia, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN RAY WYANT M.D. (MANAGING PARTNER)
(469) 300-3131
Entity
Organization
Contact information
Practice address
7000 W PLANO PKWY STE 100, PLANO, TX 75093-8465
(469) 300-3131
(214) 723-7582
Mailing address
7000 W PLANO PKWY STE 100, PLANO, TX 75093-8465
(469) 300-3131
(214) 723-7582
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150096901
—
TX
Enumeration date
02/08/2007
Last updated
10/25/2023
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