Booneville Anesthesia Services LLC
NPI #1104092089 in Richardson, Texas
Provider Information
- NPI Number
- 1104092089
- Entity Type
- Organization
- Organization Name
- Booneville Anesthesia Services LLC
- Primary Specialty
- Anesthesiology
- Enumeration Date
- May 1, 2008
- Last Updated
- May 1, 2008
Practice Location
- Address
- 1200 E COLLINS BLVD
- Address 2
- SUITE 110
- City
- Richardson
- State
- Texas
- ZIP Code
- 75081-2457
- Phone
- (866) 913-8528
Authorized Official
- Name
- BRANDON JOHNSON
- Title
- PRESIDENT/CEO
- Phone
- (866) 913-8528
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
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