Provider Demographics
NPI:1225223605
Name:ANESTHESIA CARE, P.A.
Entity type:Organization
Organization Name:ANESTHESIA CARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DUKE
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:972-897-7099
Mailing Address - Street 1:109 TOLER DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-5866
Mailing Address - Country:US
Mailing Address - Phone:972-897-7099
Mailing Address - Fax:
Practice Address - Street 1:109 TOLER DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-5866
Practice Address - Country:US
Practice Address - Phone:972-897-7099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX031922367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty