Clearfork Anesthesia Associates, Pllc

NPI #1689208316 in Benbrook, Texas

Provider Information

NPI Number: 1689208316
Entity Type: Organization
Organization Name: Clearfork Anesthesia Associates, Pllc
Primary Specialty: Anesthesiology
Enumeration Date: Mar 3, 2020
Last Updated: Mar 3, 2020

Practice Location

Address: 6311 SOUTHWEST BLVD
City: Benbrook
State: Texas
ZIP Code: 76132-1063
Phone: (817) 731-2795

Authorized Official

Name: BRADLEY KENESON, D.O.
Title: OWNER/PHYSICIAN
Phone: (765) 284-0493

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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