Organization Active NPI

Uap Las Colinas Endo, LLC

  • Certified Registered Nurse Anesthetist
  • Irving, TX
National Provider Identifier
1902169188
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
UAP LAS COLINAS ENDO, LLC
Practice address
701 Tuscan Dr
Ste 100
Irving, TX 75039-4133
Phone
(662) 893-3286
Fax
(662) 893-3287
NPI assigned
Jun 21, 2012
Last updated
Jun 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Jenetha Moran
Title
Officer/Authorized Official
Phone
(972) 763-3893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

701 Tuscan Dr
Ste 100
Irving, TX 75039-4133

Mailing address

701 Tuscan Dr
Ste 100
Irving, TX 75039-4133
Phone (662) 893-3286

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1902169188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TUSCAN DR",
            "address_2": "STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394133",
            "telephone_number": "662-893-3286",
            "fax_number": "662-893-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TUSCAN DR",
            "address_2": "STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394133",
            "telephone_number": "662-893-3286",
            "fax_number": "662-893-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UAP LAS COLINAS ENDO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JENETHA",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-763-3893"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.