NPIMap

Organization Active NPI

TX-an Anesthesia PLLC

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1366815011
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
TX-AN ANESTHESIA PLLC
Practice address
17480 Dallas Pkwy
Suite 125
Dallas, TX 75287-7337
Phone
(972) 488-8926
Fax
(972) 881-4390
NPI assigned
Nov 3, 2015
Last updated
Oct 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Brian Fox
Title
Ceo
Phone
(972) 588-4541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

17480 Dallas Pkwy
Suite 125
Dallas, TX 75287-7337

Mailing address

17440 Dallas Pkwy Ste 228
Dallas, TX 75287-7397
Phone (972) 488-8926

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160505000969 TX Part B Supplier - Clinic/Group Practice 8527367937 Receives reassigned benefits from 17 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1366815011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17440 DALLAS PKWY STE 228",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877397",
            "telephone_number": "972-488-8926",
            "fax_number": "972-304-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17480 DALLAS PKWY",
            "address_2": "SUITE 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877337",
            "telephone_number": "972-488-8926",
            "fax_number": "972-881-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TX-AN ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-588-4541"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "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 Oct 22, 2020; 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.