ENDO SEDATION LLC – Certified Registered Nurse Anesthetist, NPI 1588931174
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ENDO SEDATION LLC
PO BOX 224047
DALLAS, TX 752224047
Phone: (817) 402-7526
Type: Mailing
550 RESERVE ST STE 560
SOUTHLAKE, TX 760921607
Phone: (817) 402-7526
Type: Mailing
180 BEAR CREEK PKWY
KELLER, TX 762482500
Phone: (972) 763-3893
Fax: (972) 692-6745
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-04-06
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75222)
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