Organization
TEXAS ANESTHESIA CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHELON TYLER RAMMELL DMD (OWNER)
(253) 278-8000
Entity
Organization
Contact information
Practice address
17890 BLANCO RD STE 304, SAN ANTONIO, TX 78232-1031
(253) 278-8000
Mailing address
17890 BLANCO RD STE 304, SAN ANTONIO, TX 78232-1031
(253) 278-8000
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
30871
TX
Other
Enumeration date
11/06/2017
Last updated
09/15/2021
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