Basic Information
| Provider Information | |||||||||
| NPI: | 1417192378 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | REDWOOD ANESTHESIA, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 830825 | ||||||||
| Address2: | |||||||||
| City: | RICHARDSON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750830825 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9727920204 | ||||||||
| FaxNumber: | 9723773156 | ||||||||
| Practice Location | |||||||||
| Address1: | 5550 LBJ FWY | ||||||||
| Address2: | SUITE 150 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752406217 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9723980051 | ||||||||
| FaxNumber: | 9723980059 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/07/2008 | ||||||||
| LastUpdateDate: | 01/06/2012 | ||||||||
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| AuthorizedOfficialLastName: | RASHEED | ||||||||
| AuthorizedOfficialFirstName: | HAROON | ||||||||
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| AuthorizedOfficialTitleorPosition: | PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 9727920204 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LP2900X | G7781 | TX | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
ID Information
| ID | Type | State | Issuer | Description | G7781 | 01 | TX | STATE | OTHER |