NPIMap

Organization Active NPI

Texas Anesthesia Group, PA

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1376535773
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
J0828 Issued in TX
Legal business name
TEXAS ANESTHESIA GROUP, PA
Practice address
100 Highland Park VLG
Suite 206
Dallas, TX 75205-2722
Phone
(888) 854-3822
Fax
(972) 233-0372
NPI assigned
Aug 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Dr. Xiao-En Fang, M.D.NPI 1770587016
Title
President
Phone
(888) 854-3822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X J0828 TX Primary

Addresses

Primary practice location

100 Highland Park VLG
Suite 206
Dallas, TX 75205-2722

Mailing address

4916 Overton PLZ
Fort Worth, TX 76109-4415
Phone (817) 529-1923

Other identifiers 2

IdentifierTypeStateIssuer
173914601MedicaidTX
0017MUOtherTXGROUP BLUE C BLUE S TX

National Provider Directory

National Provider Directory

Locations

3500 Gaston Ave
#T140
Dallas, TX 75246
Phone (214) 820-2139

3535 Worth St
Ste 7000
Dallas, TX 75246
Phone (214) 820-8304

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1376535773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4916 OVERTON PLZ",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094415",
            "telephone_number": "817-529-1923",
            "fax_number": "817-334-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND PARK VLG",
            "address_2": "SUITE 206",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752052722",
            "telephone_number": "888-854-3822",
            "fax_number": "972-233-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ANESTHESIA GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "FANG",
        "authorized_official_first_name": "XIAO-EN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-854-3822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J0828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173914601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BLUE C BLUE S TX",
            "identifier": "0017MU",
            "state": "TX"
        }
    ],
    "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 Aug 27, 2008; 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.