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

Organization Anesthesiology Physician · NPI 1104092089

Booneville Anesthesia Services LLC is an Anesthesiology Physician in Richardson, Texas. Registered with an NPI since 2008.

In the registry since
2008
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

1200 E Collins Blvd Ste 110
Richardson, TX 75081-2457
Phone: (866) 913-8528
Fax: (214) 239-1660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1104092089
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Johnson — President/Ceo · (866) 913-8528
NPI enumeratedMay 1, 2008
Last updated in NPPESMay 1, 2008
Mailing address1200 E Collins Blvd, Suite 110, Richardson, TX 75081-2457

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