Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Altus Anesthesia PLLC

Organization Certified Registered Nurse Anesthetist · NPI 1114519394

Altus Anesthesia PLLC is a Certified Registered Nurse Anesthetist in Plano, Texas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4317 Maize Dr
Plano, TX 75093-3233
Phone: (214) 390-7697
Fax: (972) 432-6692
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1114519394
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reza Mobarak — Admin · (214) 390-7697
NPI enumeratedFebruary 9, 2021
Last updated in NPPESFebruary 9, 2021
Certification dateFebruary 9, 2021
Mailing address960 Ridgeview Drive, Ste 140 - 195, Allen, TX 75013

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