Organization
PRINCETON ANESTHESIA ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIF B KHAN M.D. (PRESIDENT)
(972) 952-0290
Entity
Organization
Contact information
Practice address
2201 N CENTRAL EXPY, SUITE 171, RICHARDSON, TX 75080-2754
(972) 238-2877
(972) 238-2880
Mailing address
2201 N CENTRAL EXPY, SUITE 171, RICHARDSON, TX 75080-2754
(972) 952-0290
(972) 952-0293
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002KD
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/31/2007
Last updated
11/20/2012
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