Organization
PATRIOT ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA ALANIZ (CREDENTIALING COORDINATOR)
(469) 218-0666
Entity
Organization
Contact information
Practice address
700 HIGHLANDER BLVD STE 415, ARLINGTON, TX 76015-4346
(817) 516-8811
Mailing address
700 HIGHLANDER BLVD STE 415, ARLINGTON, TX 76015-4346
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP119189
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49654
NBCRNA
TX
01
—
788451
RN LICENSE
TX
Enumeration date
02/28/2018
Last updated
02/28/2018
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