Ac Provider Services Of Florida LLC
Anesthesiology in Dallas, TX. Organization (NPI-2).
NPI number1265664601
StatusActive
Last updated in NPPESDec 5, 2019
Details
- NPI
- 1265664601
- Entity type
- Organization (NPI-2)
- Legal business name
- Ac Provider Services Of Florida LLC
- Organization subpart
- No
- Enumeration date
- Aug 19, 2009
- Last updated
- Dec 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
1717 Main St5200
Dallas, TX 75201-4612
Phone 214-932-1030 · Fax 214-712-2444
Mailing address
13737 Noel Rd Ste 1600Dallas, TX 75240-1374
Phone 973-251-1132
Authorized official
Gregory Byrne
Owner
9732511132
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