Texas Intensivists Network PLLC

Primary specialty

Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X

License

K1331 Issued in TX

Legal business name

TEXAS INTENSIVISTS NETWORK PLLC

Practice address

4020 N Macarthur Blvd
Suite 122-228
Irving, TX 75038-6419

Phone

(214) 492-1188

NPI assigned

Mar 22, 2016

Last updated

Mar 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adebola Adesanya, MD

Title

Manager

Phone

(214) 492-1188

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1659733400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 COTTONWOOD VALLEY CIR S",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386214",
            "telephone_number": "214-492-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 N MACARTHUR BLVD",
            "address_2": "SUITE 122-228",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386419",
            "telephone_number": "214-492-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS INTENSIVISTS NETWORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "ADESANYA",
        "authorized_official_first_name": "ADEBOLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-492-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "TX",
            "license": "K1331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Critical Care Medicine (Anesthesiology) Physician in Irving, TX
• Providers in Irving, TX by specialty
• Critical Care Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.