Organization
SEQUOIA ANESTHESIOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH BEARD (ADMINISTRATOR)
(817) 334-0530
Entity
Organization
Contact information
Practice address
6701 OAKMONT BLVD, DEPT OF ANESTHESIOLOGY/PAIN MANAGEMENT, FORT WORTH, TX 76132-2957
(817) 370-4721
(817) 370-4941
Mailing address
PO BOX 99386, FORT WORTH, TX 76199-0386
(817) 529-1927
(817) 877-0350
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081397401
—
TX
Enumeration date
06/01/2006
Last updated
01/21/2011
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