Organization
ISIDRA VEVE M.D. PLLC
Active
Other names
Southlake Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISIDRA VEVE MD (OWNER)
(817) 442-1250
Entity
Organization
Contact information
Practice address
410 N CARROLL AVE, SUITE 170, SOUTHLAKE, TX 76092-6455
(817) 442-1250
Mailing address
410 N CARROLL AVE, SUITE 170, SOUTHLAKE, TX 76092-6455
(817) 442-1250
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M7726
TX
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
M7726
TX
Other
Enumeration date
01/05/2010
Last updated
06/03/2014
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