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Organization

U S ANESTHESIA PARTNERS OF TEXAS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY ANN JOLLEY (DIRECTOR OF CREDENTIALING OF TEXAS)
(713) 458-4169
Entity
Organization

Contact information

Practice address
763 E US HIGHWAY 80 STE 280, FORNEY, TX 75126
(972) 572-6101
(972) 572-6104
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207LP2900X
Pain Medicine (Anesthesiology) Physician
208VP0000X
Pain Medicine Physician
208VP0014X
Interventional Pain Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
10/19/2017
Last updated
05/30/2018
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