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Organization

U S ANESTHESIA PARTNERS OF TEXAS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY JOLLEY (DIRECTOR OF CREDENTIALING)
(713) 620-4000
Entity
Organization

Contact information

Practice address
135 BUNTON CREEK RD, SUITE 302, KYLE, TX 78640-5787
(512) 416-7246
(512) 275-2833
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-1999
(972) 715-1996

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
09/02/2016
Last updated
09/02/2016
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