NPIMap

Organization Active NPI

Texas Honor Anesthesia PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
National Provider Identifier
1962856591
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
Q7656 Issued in TX
Legal business name
TEXAS HONOR ANESTHESIA PLLC
Practice address
4455 Camp Bowie Blvd Ste 114-188
Fort Worth, TX 76107
Phone
(469) 400-4217
NPI assigned
Apr 20, 2016
Last updated
Jul 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Authorized official

Name
Dr. Patrick James Bruscia, D.O.NPI 1891885208
Title
Managing Member
Phone
(469) 400-4217

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Q7656 TX Primary

Addresses

Primary practice location

4455 Camp Bowie Blvd Ste 114-188
Fort Worth, TX 76107

Mailing address

5000 Eldorado Pkwy # 150-330
Frisco, TX 75033-8695
Phone (972) 980-0500

Other practice location 1

4101 McEwen Rd Ste 485
Farmers Branch, TX 75244-5112
Phone (972) 980-0500

National Provider Directory

National Provider Directory

Locations

4455 Camp Bowie Blvd
Ste 114188
Fort Worth, TX 76107
Phone (469) 400-4217

5000 Eldorado Pkwy
#150330
Frisco, TX 75033

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": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1962856591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 ELDORADO PKWY # 150-330",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750338695",
            "telephone_number": "972-980-0500",
            "fax_number": "972-980-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 CAMP BOWIE BLVD STE 114-188",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76107",
            "telephone_number": "469-400-4217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 McEwen Rd Ste 485",
            "address_purpose": "LOCATION",
            "city": "Farmers Branch",
            "state": "TX",
            "postal_code": "752445112",
            "country_code": "US",
            "telephone_number": "972-980-0500",
            "fax_number": "972-980-0503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS HONOR ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "BRUSCIA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "469-400-4217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q7656",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 20, 2018; 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.