Organization
NEW ANESTHESIA PRACTICE SERVICE, P.A.
Active
Organization
NEW ANESTHESIA PRACTICE SERVICE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVA JO BAILEY M.D. (MEDICAL DIRECTOR)
(817) 332-3664
Entity
Organization
Contact information
Practice address
1401 HENDERSON ST, SUITE 3, FORT WORTH, TX 76102-6026
(817) 332-3664
(817) 336-6440
Mailing address
PO BOX 2457, FORT WORTH, TX 76113-2457
(817) 332-3664
(817) 336-6440
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS
00C07T
TX
Enumeration date
09/20/2006
Last updated
08/22/2020
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