Organization · NPI-2

Hawk Anesthesia Management, LLC

Nurse Anesthetist, Certified Registered · Addison, TX

NPI number1972951341
StatusActive
Last updated in NPPESMay 26, 2016

Details

NPI
1972951341
Entity type
Organization (NPI-2)
Legal business name
Hawk Anesthesia Management, LLC
Organization subpart
No
Enumeration date
May 26, 2016
Last updated
May 26, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered––Yes
261QP3300X Clinic/Center, Pain––

Practice location

17051 Dallas Pkwy
Suite 100
Addison, TX 75001-7109

Phone 972-916-0521 · Fax 972-234-0212

Mailing address

Po Box 674140
Dallas, TX 75267-4140

Phone 972-916-0521 · Fax 972-234-0212

Authorized official

Tracy Walls
President
9722344740

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