Basic Information
| Provider Information | |||||||||
| NPI: | 1659042190 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | EPSILON ANESTHESIA ASSOCIATES PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2300 MCDERMOTT RD SUITE 200 #381 | ||||||||
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| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750255542 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9729991659 | ||||||||
| FaxNumber: | 2057295887 | ||||||||
| Practice Location | |||||||||
| Address1: | 2023 W MCDERMOTT DR STE 240 | ||||||||
| Address2: | |||||||||
| City: | ALLEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750134679 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9729991659 | ||||||||
| FaxNumber: | 2057295887 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/24/2021 | ||||||||
| LastUpdateDate: | 11/06/2021 | ||||||||
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| AuthorizedOfficialLastName: | CLARK | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
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| AuthorizedOfficialTitleorPosition: | ADMIN | ||||||||
| AuthorizedOfficialTelephone: | 9729991659 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 11/06/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.