Hickory Anesthesia Management, LLC

NPI #1578912671 in Addison, Texas

Provider Information

NPI Number
1578912671
Entity Type
Organization
Organization Name
Hickory Anesthesia Management, LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jun 9, 2016
Last Updated
Jun 9, 2016

Practice Location

Address
17051 DALLAS PKWY STE 100
State
Texas
ZIP Code
75001-7102
Phone
(469) 916-0521

Authorized Official

Name
TRACY WALLS
Title
PRESIDENT
Phone
(972) 234-4740

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain
Nurse Anesthetist, Certified Registered

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