Innate Pain and Anesthesia Pllc

NPI #1104386762 in Waxahachie, Texas

Provider Information

NPI Number
1104386762
Entity Type
Organization
Organization Name
Innate Pain and Anesthesia Pllc
Primary Specialty
Anesthesiology
Enumeration Date
Mar 20, 2019
Last Updated
Jun 11, 2019

Practice Location

Address
128 N HIGHWAY 77
State
Texas
ZIP Code
75165-1800
Phone
(972) 789-1234

Authorized Official

Name
GARY MARTIN
Title
OWNER/AUTHORIZED OFFICIAL
Phone
(469) 215-3494

Specialties & Taxonomy Codes

Specialty
Anesthesiology

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