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

Ethereal Anesthesia PLLC

Organization Anesthesiology Physician · NPI 1346971025

Ethereal Anesthesia PLLC is an Anesthesiology Physician in Addison, Texas. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

17101 Dallas Pkwy
Addison, TX 75001-7103
Phone: (469) 248-3900
Fax: (469) 304-0139
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1346971025
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Fox — Ceo · (972) 588-4541
NPI enumeratedJune 22, 2022
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022
Mailing addressPo Box 251606, Plano, TX 75025-1510

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