Unknown Individual – Anesthesiology Physician, NPI 1083614283
Anesthesiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 205
ARLINGTON, TX 760040205
Phone: (972) 647-8835
Fax: (972) 641-6319
Type: Mailing
517, North Carrier Parkway, Grand Prairie, Dallas County, Texas, 75050, United States
SUITE A
GRAND PRAIRIE, TX 750505484
Phone: (972) 264-0533
Fax: (972) 262-5974
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76004)
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