Heritage Anesthesia Pc
LBN: Heritage Anesthesia Pc
Heritage Anesthesia Pc is an health care organization with primary practice located at 3901 W 15Th St , Plano TX 75075-7738. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as the primary health care specialty.
Heritage Anesthesia Pc can be contacted via phone (214) 856-5624, or through Groff, Carla Jean via phone (212) 856-5624.
Contact Information
Primary practice address
3901 W 15Th St
Plano TX 75075-7738
Phone: (214) 856-5624
Fax:
Website:
Authorized official contact:
Name: Groff, Carla Jean Certified Registered Nurse Anesthetist (CRNA)
Phone: (212) 856-5624
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | CO1451 | Arkansas |
Profile Details
| NPI number | 1639493448 |
|---|---|
| LBN Legal business name | Heritage Anesthesia Pc |
| DBA Doing business as | |
| Authorized official | Groff, Carla Jean Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 23rd, 2010 |
| Last updated | Jun 3rd, 2014 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639493448 | NPPES |
| Arkansas | MEDICAID | 184989002 |
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