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

Aspen Anesthesia Management, LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1649708520

Aspen Anesthesia Management, LLC is a Pain Medicine (Anesthesiology) Physician in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2017.

Licensed in
TX
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3065 W Southlake Blvd
Southlake, TX 76092-6730
Phone: (972) 234-4740
Fax: (972) 231-7095
Show map & directions

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

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X (TX)

Record details

NPI number1649708520
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Walls — President · (972) 234-4740
NPI enumeratedMay 23, 2017
Last updated in NPPESMay 23, 2017
Mailing addressPo Box 674436, Dallas, TX 75267-4436

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