Wise County Anesthesia Associates in Decatur - Specialist
Wise County Anesthesia Associates - NPI 1063552511
Wise County Anesthesia Associates is a Specialist in Decatur, Texas. Wise County Anesthesia Associates practices all healthcare services and medical treatments related to Specialist. The NPI Number for Wise County Anesthesia Associates is 1063552511. The last update date is 2020-08-22.
Wise County Anesthesia Associates's current location address is 609 Medical Center Dr, Decatur, Texas. You can contact this provider via phone number 9406275921. The mailing address for Wise County Anesthesia Associates is 609 Medical Center Dr, Decatur, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wise County Anesthesia Associates |
|---|---|
| Address | 609 Medical Center Dr, Decatur, Texas |
| Phone Number | 9406275921 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER ANES |
|---|---|
| Authorized Official Name | Blaylock David |
| Credentials | DO |
| Telephone Number | 9406273033 |
NPI Number Detail
| NPI Number | 1063552511 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 609 Medical Center Dr |
|---|---|
| City | Decatur |
| State | Texas (TX) |
| Post Code | 762344652 |
| Phone Number | 9406275921 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | DOH9805 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DOH9805 | TX | LICENSE NUMBER | |
| 3536HM | TX | BLUE CROSS GROUP ID NUMBE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Wise County Anesthesia Associates by the Centers for Medicare & Medicaid Services?
The Wise County Anesthesia Associates has been issued the NPI (National Provider Identifier) 1063552511, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Wise County Anesthesia Associates's physical address?
The Wise County Anesthesia Associates is physically located at 609 Medical Center Dr, in the city of Decatur, TX, with the postal code 762344652.
What is Wise County Anesthesia Associates's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Wise County Anesthesia Associates is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
When was the Wise County Anesthesia Associates's 1063552511 issued?
The Wise County Anesthesia Associates's 1063552511 was issued on 2007-02-07.
When was the information pertaining to Wise County Anesthesia Associates most recently updated or revised?
The details related to Wise County Anesthesia Associates, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
NPI Number: 1669475612
Address: 8906 Spanish Ridge Ave Ste 202, Las Vegas, NV
NPI Number: 1912900960
Address: 2350 N University Dr Unit 841423, Pembroke Pines, FL