Uap Las Colinas Endo, LLC

NPI #1902169188 in Irving, Texas

Provider Information

NPI Number
1902169188
Entity Type
Organization
Organization Name
Uap Las Colinas Endo, LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jun 21, 2012
Last Updated
Jun 21, 2013

Practice Location

Address
701 TUSCAN DR
Address 2
STE 100
City
Irving
State
Texas
ZIP Code
75039-4133
Phone
(662) 893-3286

Authorized Official

Name
JENETHA MORAN
Title
OFFICER/AUTHORIZED OFFICIAL
Phone
(972) 763-3893

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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