1043752314 NPI number — TURNBERRY ANESTHESIA ASSOCIATES PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043752314 NPI number — TURNBERRY ANESTHESIA ASSOCIATES PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TURNBERRY ANESTHESIA ASSOCIATES PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043752314
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/05/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5729 LEBANON RD STE 144
Provider Second Line Business Mailing Address:
PO BOX 350
Provider Business Mailing Address City Name:
FRISCO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75034-7259
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-954-1472
Provider Business Mailing Address Fax Number:
972-476-1849

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3140 LEGACY DR STE 310
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRISCO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75034-9383
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-954-1472
Provider Business Practice Location Address Fax Number:
972-476-1849
Provider Enumeration Date:
11/17/2016

Additional Information

Authorized Official

Authorized Official Last Name:
YOUNAS
Authorized Official First Name:
BABER
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
972-954-1469

Provider Taxonomy Codes

  • Taxonomy code: 367500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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