Organization
OUTPATIENT ANESTHESIA MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANNY H MCKINNEY CRNA (OWNER)
(817) 294-7444
Entity
Organization
Contact information
Practice address
5421 LA SIERRA DR, DALLAS, TX 75231-4107
(214) 696-0526
Mailing address
PO BOX 11219, FORT WORTH, TX 76110-0219
(817) 294-7444
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
555111
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C11W
BCBSTX
TX
05
—
200267701
—
TX
01
—
555111
LICENSE
TX
Enumeration date
02/28/2008
Last updated
06/23/2009
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