Organization · NPI-2

Alisan Anesthesia Associates PLLC

Anesthesiology · Richardson, TX

NPI number1891358842
StatusActive
Last updated in NPPESFeb 9, 2024

Details

NPI
1891358842
Entity type
Organization (NPI-2)
Legal business name
Alisan Anesthesia Associates PLLC
Organization subpart
No
Enumeration date
Apr 16, 2019
Certification date
Feb 9, 2024
Last updated
Feb 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology––Yes

Practice location

2071 N Collins Blvd Ste 100
Richardson, TX 75080-2696

Phone 469-575-6438

Mailing address

2071 N Collins Blvd Ste 100
Richardson, TX 75080-2696

Phone 469-575-6438 · Fax 469-562-4166

Other practice locations

403 W Campbell Rd Ste 305
Richardson, TX 75080-3468

Phone 469-562-4188 · Fax 469-562-4166

Authorized official

Rao Kamran Ali
Owner
7326106120

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