Basic Information
| Provider Information | |||||||||
| NPI: | 1669425112 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | METROPOLITAN ANESTHESIA CONSULTANTS, PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4131 N CENTRAL EXPY | ||||||||
| Address2: | SUITE 435 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752042102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8175291935 | ||||||||
| FaxNumber: | 8178770350 | ||||||||
| Practice Location | |||||||||
| Address1: | 4131 N CENTRAL EXPY | ||||||||
| Address2: | SUITE 435 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752042102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2142523501 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2006 | ||||||||
| LastUpdateDate: | 07/13/2007 | ||||||||
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| AuthorizedOfficialLastName: | RICE | ||||||||
| AuthorizedOfficialFirstName: | NORMAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | AUTHORIZED REPRESENTATIVE | ||||||||
| AuthorizedOfficialTelephone: | 2142523501 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | N | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Specialist | 367500000X | Y | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.