Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Altus Anesthesia PLLC

Organization Certified Registered Nurse Anesthetist · NPI 1114519394

Altus Anesthesia PLLC provides Certified Registered Nurse Anesthetist services 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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