Sailor Moon

NPI #1760946859 in Richardson, Texas

Provider Information

NPI Number: 1760946859
Entity Type: Organization
Organization Name: Sailor Moon
Primary Specialty: Anesthesiology
Enumeration Date: Jan 23, 2019
Last Updated: Jan 16, 2020

Practice Location

Address: 2831 GEORGE BUSH HWY
City: Richardson
State: Texas
ZIP Code: 75082-3561
Phone: (765) 284-0493

Authorized Official

Name: GEORGE JONES, MD
Title: OWNER/PHYSICIAN
Phone: (214) 850-6123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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