Southlake Premier Anesthesia, Pllc

LBN: Southlake Premier Anesthesia, Pllc
Southlake Premier Anesthesia, Pllc is an health care organization with primary practice located at 3200 N Tarrant Pkwy , Fort Worth TX 76177-8611. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty. Southlake Premier Anesthesia, Pllc can be contacted via phone (210) 996-6363, or through Miller, Everly via phone (210) 996-6363.

Contact Information

Primary practice address
3200 N Tarrant Pkwy Fort Worth TX 76177-8611
Phone: (210) 996-6363
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, Everly
Phone: (210) 996-6363

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1710524095
LBN Legal business name Southlake Premier Anesthesia, Pllc
DBA Doing business as
Authorized official Miller, Everly
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2019
Last updated Dec 5th, 2019 - about 7 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.

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