Provider Demographics
NPI:1992150486
Name:OMEGA ANESTHESIA, PLLC
Entity type:Organization
Organization Name:OMEGA ANESTHESIA, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PAYESTEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-801-1879
Mailing Address - Street 1:13023 COPENHILL RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-5301
Mailing Address - Country:US
Mailing Address - Phone:214-801-1879
Mailing Address - Fax:
Practice Address - Street 1:13023 COPENHILL RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-5301
Practice Address - Country:US
Practice Address - Phone:214-801-1879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-03
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty