| NPI | 1922031442 |
|---|---|
| Former Legal Business Name | FAIR OAKS ANESTHESIA ASSOCIATES LLC |
| Entity Type | Organization |
| Authorized Contact | DENEA WRIGHT Provider Enrollment Supervisor 754-247-4124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2022-12-21 |