Maple Anesthesia Management, LLC
NPI #1922457035 in Fort Worth, Texas
Provider Information
- NPI Number
- 1922457035
- Entity Type
- Organization
- Organization Name
- Maple Anesthesia Management, LLC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Jun 9, 2016
- Last Updated
- Jun 9, 2016
Practice Location
- Address
- 2001 COOPER ST
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76104-2529
- Phone
- (817) 334-0880
Authorized Official
- Name
- TRACY WALLS
- Title
- PRESIDENT
- Phone
- (972) 234-4740
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Pain — Pain |
| Nurse Anesthetist, Certified Registered |
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