Premium Anesthesia, Pllc

NPI #1013449750 in Austin, Texas

Provider Information

NPI Number
1013449750
Entity Type
Organization
Organization Name
Premium Anesthesia, Pllc
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Mar 31, 2017
Last Updated
Mar 31, 2017

Practice Location

Address
8015 SHOAL CREEK BLVD STE 100
Address 2
DOING BUSINESS AT CENTER FOR SPECIAL SURGERY
City
Austin
State
Texas
ZIP Code
78757-8051
Phone
(936) 639-3036

Authorized Official

Name
KIMBERLY A RUSSELL
Title
CEO
Phone
(512) 413-2425

Specialties & Taxonomy Codes

Specialty
Anesthesiology
Nurse Anesthetist, Certified Registered

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