West Burleson Anesthesia PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

WEST BURLESON ANESTHESIA PLLC

Practice address

11801 South Fwy Ste 140
Burleson, TX 76028-7021

Phone

(214) 390-7697

Fax

(888) 770-6360

NPI assigned

Sep 17, 2019

Organization subpart

No

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

Authorized official

Name

Mike Bismar, MD

Title

Admin

Phone

(214) 390-7697

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1437709813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 STONEBROOK PKWY UNIT 2148",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346169",
            "telephone_number": "214-390-7697",
            "fax_number": "888-770-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 SOUTH FWY STE 140",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287021",
            "telephone_number": "214-390-7697",
            "fax_number": "888-770-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BURLESON ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "BISMAR",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "214-390-7697",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Burleson, TX
• Providers in Burleson, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.