Organization Active NPI

Prime Anesthesia Group PLLC

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1285008102
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M6355 Issued in TX
Legal business name
PRIME ANESTHESIA GROUP PLLC
Practice address
5520 LBJ Fwy Ste 100
Dallas, TX 75240-6246
Phone
(972) 636-5727
Fax
(972) 331-8668
NPI assigned
Nov 16, 2015
Last updated
Mar 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Hanney Musa
Title
Manager
Phone
(972) 636-5727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X M6355 TX Primary

Addresses

Primary practice location

5520 LBJ Fwy Ste 100
Dallas, TX 75240-6246

Mailing address

5520 LBJ Fwy Ste 100
Dallas, TX 75240-6246
Phone (972) 636-5727

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1285008102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 LBJ FWY STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406246",
            "telephone_number": "972-636-5727",
            "fax_number": "972-331-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 LBJ FWY STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406246",
            "telephone_number": "972-636-5727",
            "fax_number": "972-331-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME ANESTHESIA GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "MUSA",
        "authorized_official_first_name": "HANNEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-636-5727"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M6355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.