Organization
SAGE ANESTHESIA MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OTIS ROBERT DAVIS MD (MANAGER)
(844) 290-7400
Entity
Organization
Contact information
Practice address
3217 HUNTER LN, PLANO, TX 75093-8826
(844) 290-7400
(214) 301-0649
Mailing address
PO BOX 842622, DALLAS, TX 75284-2622
(972) 422-5941
(214) 301-0649
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/14/2016
Last updated
07/30/2021
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