Provider Demographics
NPI:1861067605
Name:GLEASON ANESTHESIA SERVICES PLLC
Entity type:Organization
Organization Name:GLEASON ANESTHESIA SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNA
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GLEASON
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:225-802-8749
Mailing Address - Street 1:5900 AUSTIN WATERS
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-4545
Mailing Address - Country:US
Mailing Address - Phone:225-802-8749
Mailing Address - Fax:
Practice Address - Street 1:2719 VIRGINIA PKWY
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-4917
Practice Address - Country:US
Practice Address - Phone:469-625-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty