Organization
ALISAN ANESTHESIA ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAO KAMRAN ALI MD (OWNER)
(732) 610-6120
Entity
Organization
Contact information
Practice address
2071 N COLLINS BLVD STE 100, RICHARDSON, TX 75080-2696
(469) 575-6438
Mailing address
2071 N COLLINS BLVD STE 100, RICHARDSON, TX 75080-2696
(469) 575-6438
(469) 562-4166
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R2266
MEDICAL LICENSE
TX
Enumeration date
04/16/2019
Last updated
02/09/2024
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