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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