Basic Information
| Provider Information | |||||||||
| NPI: | 1902859697 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | METROPOLITAN ANESTHESIA CONSULTANTS, LLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 650823 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752650823 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8004117515 | ||||||||
| FaxNumber: | 8178770350 | ||||||||
| Practice Location | |||||||||
| Address1: | 3300 OAK LAWN AVE | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752194236 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2142523501 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2006 | ||||||||
| LastUpdateDate: | 09/30/2021 | ||||||||
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| AuthorizedOfficialLastName: | CONDITT | ||||||||
| AuthorizedOfficialFirstName: | NICOLE | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRACTICE SUPPORT ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 2144804140 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 05/11/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.