Organization Active NPI

Nortex Anesthesia, PLLC

  • Anesthesiology Physician
  • Ennis, TX
National Provider Identifier
1053977694
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NORTEX ANESTHESIA, PLLC
Practice address
2200 Physicians Blvd Ste a
Ennis, TX 75119-6248
Phone
(469) 215-3494
NPI assigned
May 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Dr. Gary D Martin Jr., MD
Title
Manager
Phone
(469) 215-3494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

2200 Physicians Blvd Ste a
Ennis, TX 75119-6248

Mailing address

PO Box 251529
Plano, TX 75025-1500
Phone (469) 215-3494

National Provider Directory

National Provider Directory

Locations

17740 Preston Rd
Ste 100A
Dallas, TX 75252

2200 Physicians Blvd
Ste A
Ennis, TX 75119
Phone (972) 782-9090

NPI Registry JSON

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

{
    "created_epoch": "1558137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1053977694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251529",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251500",
            "telephone_number": "469-215-3494",
            "fax_number": "888-770-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PHYSICIANS BLVD STE A",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751196248",
            "telephone_number": "469-215-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTEX ANESTHESIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-18",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-215-3494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.