Organization
PREMIER ANESTHESIA GOUP LLP
Active
Organization
PREMIER ANESTHESIA GOUP LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERE ODOM (CREDENTIALIST)
(972) 884-4444
Entity
Organization
Contact information
Practice address
10400 NORTH CENTRAL EXPRESSWAY, DALLAS, TX 75231-2297
(972) 884-4444
(214) 594-2848
Mailing address
10400 N CENTRAL EXPY, DALLAS, TX 75231-2297
(972) 884-4444
(214) 594-2848
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/11/2011
Last updated
04/12/2011
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