Ethereal Anesthesia Pllc

NPI #1346971025 in Addison, Texas

Provider Information

NPI Number: 1346971025
Entity Type: Organization
Organization Name: Ethereal Anesthesia Pllc
Primary Specialty: Anesthesiology
Enumeration Date: Jun 22, 2022
Last Updated: Jun 22, 2022

Practice Location

Address: 17101 DALLAS PKWY
City: Addison
State: Texas
ZIP Code: 75001-7103
Phone: (469) 248-3900

Authorized Official

Name: BRIAN FOX
Title: CEO
Phone: (972) 588-4541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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