Organization Active NPI

Liberty Anesthesia Management Professionals PLLC

  • Certified Registered Nurse Anesthetist
  • Plano, TX
National Provider Identifier
1265710115
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
633146 Issued in TX
Legal business name
LIBERTY ANESTHESIA MANAGEMENT PROFESSIONALS PLLC
Practice address
5316 W. Plano Pkwy
Plano, TX 75093-4640
Phone
(972) 620-1700
NPI assigned
Jul 26, 2011
Last updated
Jul 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Cece Pannell
Title
Off MGR
Phone
(817) 294-7444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 633146 TX Primary

Addresses

Primary practice location

5316 W. Plano Pkwy
Plano, TX 75093-4640

Mailing address

P.O. Box 2626
Fort Worth, TX 76113-2626
Phone (817) 294-7444

National Provider Directory

National Provider Directory

Locations

3900 Joe Ramsey Blvd E
Spc Surg
Greenville, TX 75401
Phone (903) 455-0220

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1265710115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2626",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761132626",
            "telephone_number": "817-294-7444",
            "fax_number": "817-294-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5316 W. PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934640",
            "telephone_number": "972-620-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY ANESTHESIA MANAGEMENT PROFESSIONALS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "PANNELL",
        "authorized_official_first_name": "CECE",
        "authorized_official_title_or_position": "OFF MGR",
        "authorized_official_telephone_number": "817-294-7444"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "633146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.