Active NPI
Liberty Anesthesia Management Professionals PLLC
- Certified Registered Nurse Anesthetist
- Plano, TX
National Provider Identifier
1265710115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 633146
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 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 DirectoryLocations
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.