Basic Information
| Provider Information | |||||||||
| NPI: | 1003457458 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NARI ANESTHESIA PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 496928 | ||||||||
| Address2: | |||||||||
| City: | GARLAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750496928 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9729991659 | ||||||||
| FaxNumber: | 2057295887 | ||||||||
| Practice Location | |||||||||
| Address1: | 3453 SAINT FRANCIS AVE STE 125 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752286098 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9729991659 | ||||||||
| FaxNumber: | 2057295887 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/07/2019 | ||||||||
| LastUpdateDate: | 12/15/2021 | ||||||||
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| AuthorizedOfficialLastName: | ABDELFATTAH | ||||||||
| AuthorizedOfficialFirstName: | BASEM | ||||||||
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| AuthorizedOfficialTitleorPosition: | ADMIN | ||||||||
| AuthorizedOfficialTelephone: | 9729991659 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 12/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367H00000X | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Anesthesiologist Assistant |
No ID Information.