Organization
COMMONWEALTH ANESTHESIA ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JACK FREEMAN CRNA, DNP (ANESTHETIST)
(214) 502-7062
Entity
Organization
Contact information
Practice address
1600 COIT RD STE 301, PLANO, TX 75075-6172
(972) 867-0019
Mailing address
PO BOX 795125, DALLAS, TX 75379-5125
(214) 502-7062
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
255639
TX
Other
Enumeration date
05/24/2017
Last updated
05/24/2017
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