Provider Demographics
NPI:1124516968
Name:EARLS ANESTHESIA PLLC
Entity type:Organization
Organization Name:EARLS ANESTHESIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-872-8254
Mailing Address - Street 1:5999 CUSTER ROAD
Mailing Address - Street 2:SUITE 110 #516
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-0648
Mailing Address - Country:US
Mailing Address - Phone:972-872-8254
Mailing Address - Fax:972-850-7352
Practice Address - Street 1:981 STATE HIGHWAY 121 STE 4150
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6150
Practice Address - Country:US
Practice Address - Phone:972-872-8254
Practice Address - Fax:972-850-7352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-26
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty