Provider Demographics
NPI:1992034243
Name:PHYSICIAN ANESTHESIOLOGY SERVICES, PA
Entity type:Organization
Organization Name:PHYSICIAN ANESTHESIOLOGY SERVICES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:N
Authorized Official - Middle Name:L
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-725-2566
Mailing Address - Street 1:5930 ROYAL LN STE E-271
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-3849
Mailing Address - Country:US
Mailing Address - Phone:903-450-8704
Mailing Address - Fax:903-450-8997
Practice Address - Street 1:5930 ROYAL LN STE E-271
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-3849
Practice Address - Country:US
Practice Address - Phone:903-450-8704
Practice Address - Fax:903-450-8997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-16
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty