Organization Active NPI

Valiant Anesthesia PLLC

Doing business as Skyline Anesthesia

  • Pain Medicine (Anesthesiology) Physician
  • Irving, TX
National Provider Identifier
1053093484
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
VALIANT ANESTHESIA PLLC
Doing business as
Skyline Anesthesia
Practice address
4441 W Airport Fwy Ste 205
Irving, TX 75062-5840
Phone
(469) 444-7246
NPI assigned
Aug 4, 2023
Last updated
Jul 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Audrey Given
Title
Owner
Phone
(469) 444-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

4441 W Airport Fwy Ste 205
Irving, TX 75062-5840

Mailing address

4441 W Airport Fwy Ste 205
Irving, TX 75062-5840
Phone (469) 444-7246

Other names 1

  • Skyline Anesthesia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240404000143 TX Part B Supplier - Clinic/Group Practice 6204274673 Receives reassigned benefits from 3 practitioners
Practice locations: Irving, TX

National Provider Directory

National Provider Directory

Locations

4441 W Airport Fwy
Ste 205
Irving, TX 75062
Phone (469) 444-7246

4441 W Airport Fwy
Ste 215
Irving, TX 75062
Phone (469) 444-7246

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1053093484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 W AIRPORT FWY STE 205",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625840",
            "telephone_number": "469-444-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 W AIRPORT FWY STE 205",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625840",
            "telephone_number": "469-444-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALIANT ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "GIVEN",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-444-7246"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyline Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skyline Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.