Basic Information
Provider Information
NPI: 1134697907
EntityType: 2
ReplacementNPI:  
OrganizationName: ANESTHESIA AND ACUTE PAIN EXPERTS OF PLANO PLLC
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Mailing Information
Address1: PO BOX 568
Address2:  
City: MUNCIE
State: IN
PostalCode: 473080568
CountryCode: US
TelephoneNumber: 7652840493
FaxNumber: 7652842434
Practice Location
Address1: 6311 SOUTHWEST BLVD
Address2:  
City: BENBROOK
State: TX
PostalCode: 761321063
CountryCode: US
TelephoneNumber: 8177319400
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/09/2018
LastUpdateDate: 11/09/2018
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AuthorizedOfficialLastName: COOK
AuthorizedOfficialFirstName: CHRISTOPHER
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AuthorizedOfficialTitleorPosition: OWNER/AUTHORIZED OFFICIAL
AuthorizedOfficialTelephone: 4058232575
IsSoleProprietor:  
IsOrganizationSubpart: N
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AuthorizedOfficialCredential: DO
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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