Organization
MANSFIELD ANESTHESIA CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN L POLOZOLA (REGISTERED AGENT)
(817) 405-9591
Entity
Organization
Contact information
Practice address
280 REGENCY PKWY, MANSFIELD, TX 76063-7823
(817) 405-9591
Mailing address
801 CHERRY ST, SUITE 2000, FT WORTH, TX 76102-6803
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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