Anesthesia Providers of East Texas, PA

NPI #1063400075 in Palestine, Texas

Provider Information

NPI Number
1063400075
Entity Type
Organization
Organization Name
Anesthesia Providers of East Texas, PA
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Oct 12, 2005
Last Updated
Jul 17, 2014

Practice Location

Address
300 WILLOW CREEK PKWY
Address 2
SUITE 130
State
Texas
ZIP Code
75801-4421
Phone
(903) 723-2465

Authorized Official

Name
DR. RICHARD SCOTT COOPER, M.D.
Title
PRESIDENT
Phone
(903) 675-1186

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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