Organization
PHOENIX ANESTHESIA AND PAIN MANAGEMENT GROUP, PLLC
Active
Organization
PHOENIX ANESTHESIA AND PAIN MANAGEMENT GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA C. TAYLOR-KENNEDY MD (DIRECTOR)
(214) 443-1240
Entity
Organization
Contact information
Practice address
14902 PRESTON RD, SUITE 404-745, DALLAS, TX 75254-9191
(214) 443-1240
(214) 443-1240
Mailing address
14902 PRESTON RD, SUITE 404-745, DALLAS, TX 75254-9191
(214) 443-1240
(214) 443-1240
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J2989
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
J2989
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS FACILITY 0042HW
LISA TAYLOR-KENNEDY, MD
TX
01
—
BCBS PROVIDER 8G0150
LISA TAYLOR-KENNEDY, MD
TX
Enumeration date
08/10/2006
Last updated
12/21/2007
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