Organization Active NPI

Universal Anesthesia, PA

  • Anesthesiologist Assistant
  • Dallas, TX
National Provider Identifier
1528487790
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
Legal business name
UNIVERSAL ANESTHESIA, PA
Practice address
5550 LBJ Fwy
Ste 150
Dallas, TX 75240-6217
Phone
(972) 636-5727
NPI assigned
Apr 15, 2014
Last updated
Apr 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Jamal Otula
Title
Admin
Phone
(214) 364-0181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X NU Primary

Addresses

Primary practice location

5550 LBJ Fwy
Ste 150
Dallas, TX 75240-6217

Mailing address

PO Box 832524
Richardson, TX 75083-2524

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1528487790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 832524",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750832524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 LBJ FWY",
            "address_2": "STE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406217",
            "telephone_number": "972-636-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL ANESTHESIA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "OTULA",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "214-364-0181"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "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 Apr 23, 2014; 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.