Precise Edge Services LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

36531057 Issued in TX

Legal business name

PRECISE EDGE SERVICES LLC

Practice address

708 Edgewood Dr
Desoto, TX 75115-4331

Phone

(817) 294-7444

Fax

(817) 294-7172

NPI assigned

Aug 17, 2015

Organization subpart

No

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

Authorized official

Name

Tiffany Leake, CRNA

Title

Provider

Phone

(817) 294-7444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1982070686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2626",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761132626",
            "telephone_number": "817-294-7444",
            "fax_number": "817-294-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 EDGEWOOD DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154331",
            "telephone_number": "817-294-7444",
            "fax_number": "817-294-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE EDGE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "LEAKE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "817-294-7444",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "36531057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Jane Poupart, D.D.S.
• Keith A Powell
• Praveen Varkey, DDS, PC
• Precious Link Homehealth
• Precious Pages of Life
• Premier Choice Medical and Wellness PLLC
• Premier Home and Community Services, Inc.
• Chloe Paige Price
• Shashonne Price, FNP
• Priceless Beauty Spa,LLC

• Certified Registered Nurse Anesthetist in Desoto, TX
• Providers in Desoto, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.