Organization
ANESTHESIOLOGISTS FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KIMATIAN MD (PRESIDENT)
(214) 456-6393
Entity
Organization
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-6921
Mailing address
1935 MEDICAL DISTRICT DR, ST9.08, DALLAS, TX 75235-7701
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
207L00000X
Anesthesiology Physician
—
—
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
2251P0200X
Pediatric Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147587302
—
TX
05
—
147587304
—
TX
01
—
TXB147969
MEDICARE ID-TYPE UNSPECIFIED
TX
Enumeration date
05/15/2006
Last updated
05/01/2023
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