Blue Star Anesthesia Pllc

NPI 1003189820 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1003189820
Enumeration Date 02/10/2012
Last Updated 02/10/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name GARY GARY
Position OWNER
Phone (972) 351-8535
Fax
Practice Location
106 LUCAS ST
WAXAHACHIE TX, 75165-2202, US
Phone (972) 351-8535
Fax
Business Location
PO BOX 388
NEWTON KS, 67114-0388, US
Phone
Fax
Toxanomy
Taxonomy Code 367500000X
License State
License Number
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According to our database, Blue Star Anesthesia Pllc NPI is 1003189820, taxonomy code is 367500000X Blue Star Anesthesia Pllc physically located at 106 Lucas St, Waxahachie TX, 75165-2202. NPI Number 1033115704 has the healthcare provider type.

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1003189820 NPI number is provided on an as is basis without warranty of any kind. 1003189820 is maintained by the National Plan & Provider Enumeration System. The contents of Blue Star Anesthesia Pllc are for informational purposes only.