Basic Information
| Provider Information | |||||||||
| NPI: | 1407365786 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TARRANT SEDATION SERVICES, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 822207 | ||||||||
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| City: | NORTH RICHLAND HILLS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761822207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4693265115 | ||||||||
| FaxNumber: | 8174790801 | ||||||||
| Practice Location | |||||||||
| Address1: | 461 WESTPARK WAY | ||||||||
| Address2: | |||||||||
| City: | EULESS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 76040 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8173604853 | ||||||||
| FaxNumber: | 8175533626 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/29/2017 | ||||||||
| LastUpdateDate: | 07/01/2019 | ||||||||
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| AuthorizedOfficialLastName: | MAYFIELD | ||||||||
| AuthorizedOfficialFirstName: | BARRETT | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 8173604853 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | N | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | 207L00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.