Organization
MESQUITE PROFESSIONAL ANESTHESIA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAGARAJ S KIKKERI MD (OWNER)
(972) 681-7246
Entity
Organization
Contact information
Practice address
3865 CHILDRESS AVE, MESQUITE, TX 75150-2802
(972) 681-7246
Mailing address
PO BOX 870638, MESQUITE, TX 75187-0638
(972) 681-7246
(972) 681-8212
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
11/25/2014
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