Organization
ADDISON ANESTHESIA MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY MCGILL (DIR OF NETWORK DEVELOPMENT)
(972) 215-7410
Entity
Organization
Contact information
Practice address
17051 DALLAS PKWY, SUITE 100, ADDISON, TX 75001-7109
(972) 215-7410
Mailing address
PO BOX 674006, DALLAS, TX 75267-4006
(972) 479-1115
(972) 479-1118
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/20/2015
Last updated
06/06/2016
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