Organization
PINNACLE ANESTHESIA CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND ROMO (DIRECTOR OF PHYSICIAN SERVICES)
(972) 715-5000
Entity
Organization
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650866, DALLAS, TX 75265-0866
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
367H00000X
Anesthesiologist Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127349204
—
TX
Enumeration date
04/07/2008
Last updated
09/30/2015
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