NPI 1366976441 · live from the CMS NPI Registry
Accord Anesthesia PLLC
Nurse Anesthetist, Certified Registered in Fort Worth, TX. National Provider Identifier 1366976441, active.
NPI record
| NPI | 1366976441 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Anesthetist, Certified Registered 367500000X |
| Practice location | 7200 Oakmont Blvd, Fort Worth, TX 76132 |
| Practice phone | 817-732-3300 |
| Mailing address | 182 Industrial Rd, Glen Rock, PA 17327 |
| Enumerated | April 17, 2017 |
| Last updated | December 14, 2022 |
| Authorized official | Jason Morningstar, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology, Pain Medicine | 207LP2900X | K7696 (TX) |
| Nurse Anesthetist, Certified Registered primary | 367500000X | 680673 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.