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

Organization Anesthesiology Physician · NPI 1710524095

Southlake Premier Anesthesia, PLLC is an Anesthesiology Physician in Fort Worth, Texas. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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

3200 N Tarrant Pkwy
Fort Worth, TX 76177-8611
Phone: (210) 996-6363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X

Record details

NPI number1710524095
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Everly Miller — Credentialing Specialist · (210) 996-6363
NPI enumeratedDecember 5, 2019
Last updated in NPPESDecember 5, 2019
Mailing address2600 E Southlake Blvd Ste 120, Southlake, TX 76092-8045

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