Organization
ALLIANCE ANESTHESIOLOGY ASSOCIATES, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO R HERRERA JR. MD (MD/VICE PRESIDENT - TREASURER)
(817) 810-0600
Entity
Organization
Contact information
Practice address
2120 MISTLETOE BLVD UNIT 2, FORT WORTH, TX 76110-1174
(817) 810-0600
(817) 927-8902
Mailing address
2120 MISTLETOE BLVD UNIT 2, FORT WORTH, TX 76110-1174
(817) 810-0600
(817) 927-8902
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3057994-01
—
TX
Enumeration date
12/13/2011
Last updated
08/30/2013
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