NPIMap

Organization Active NPI

Alliance Anesthesiology Associates, LP

  • Anesthesiology Physician
  • Fort Worth, TX
National Provider Identifier
1962770404
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ALLIANCE ANESTHESIOLOGY ASSOCIATES, LP
Practice address
2120 Mistletoe Blvd Unit 2
Fort Worth, TX 76110-1174
Phone
(817) 810-0600
Fax
(817) 927-8902
NPI assigned
Dec 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
Eduardo R Herrera Jr., MD
Title
MD/Vice President - Treasurer
Phone
(817) 810-0600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

2120 Mistletoe Blvd Unit 2
Fort Worth, TX 76110-1174

Mailing address

2120 Mistletoe Blvd Unit 2
Fort Worth, TX 76110-1174
Phone (817) 810-0600

Other identifiers 1

IdentifierTypeStateIssuer
3057994-01MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1962770404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 MISTLETOE BLVD UNIT 2",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101174",
            "telephone_number": "817-810-0600",
            "fax_number": "817-927-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 MISTLETOE BLVD UNIT 2",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101174",
            "telephone_number": "817-810-0600",
            "fax_number": "817-927-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE ANESTHESIOLOGY ASSOCIATES, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD/VICE PRESIDENT - TREASURER",
        "authorized_official_telephone_number": "817-810-0600",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3057994-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.