Clover Anesthesia PLLC

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

Legal business name

CLOVER ANESTHESIA PLLC

Practice address

4090 Mapleshade LN Ste 100
Plano, TX 75093-0025

Phone

(214) 390-7697

Fax

(888) 770-6360

NPI assigned

Jun 26, 2020

Organization subpart

No

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

Authorized official

Name

Vudhi V Slabisak

Title

Admin

Phone

(214) 390-7697

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1831716786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251514",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251514",
            "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": "4090 MAPLESHADE LN STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930025",
            "telephone_number": "214-390-7697",
            "fax_number": "888-770-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "SLABISAK",
        "authorized_official_first_name": "VUDHI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "214-390-7697"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiologist Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kelly A Clinton, PAC
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• Brendon Clough, PHARMD
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• Wendy R Clubb, LCDC
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• Anesthesiologist Assistant in Plano, TX
• Providers in Plano, TX by specialty
• Anesthesiologist Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.