Organization
INTEGRATIVE ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EAST D.O. (CEO)
(972) 380-0000
Entity
Organization
Contact information
Practice address
16633 DALLAS PKWY, SUITE 150, ADDISON, TX 75001-6816
(972) 380-0000
Mailing address
16633 DALLAS PKWY, SUITE 150, ADDISON, TX 75001-6816
(972) 380-0000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
P1883
TX
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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