Great Lakes Anesthesia Llc

LBN: Great Lakes Anesthesia Llc
Great Lakes Anesthesia Llc is an health care organization with primary practice located at 13601 Preston Rd 1000W, Dallas TX 75240-4911. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty. Great Lakes Anesthesia Llc can be contacted via phone (972) 715-5000, or through Webster, Douglas via phone (972) 715-5000.

Contact Information

Primary practice address
13601 Preston Rd 1000W Dallas TX 75240-4911
Phone: (972) 715-5000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Webster, Douglas Doctor of Osteopathy (DO)
Phone: (972) 715-5000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X

Profile Details

NPI number 1972806925
LBN Legal business name Great Lakes Anesthesia Llc
DBA Doing business as
Authorized official Webster, Douglas Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2010
Last updated Nov 22nd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972806925 NPPES
Illinois MEDICAID 1972806925

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