Provider Demographics
NPI:1861748436
Name:CHASE KHA ANESTHESIA CONSULTANTS MD PA
Entity type:Organization
Organization Name:CHASE KHA ANESTHESIA CONSULTANTS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:DUNG
Authorized Official - Middle Name:NGOC
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-227-4407
Mailing Address - Street 1:1200 JUPITER RD UNIT 940243
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75094-0090
Mailing Address - Country:US
Mailing Address - Phone:214-227-4407
Mailing Address - Fax:
Practice Address - Street 1:1200 JUPITER RD UNIT 940243
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75094-0090
Practice Address - Country:US
Practice Address - Phone:214-227-4407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-01
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8725207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty