OrganizationActive
Booneville Anesthesia Services LLC
NPI 1104092089 · Anesthesiology Physician · Richardson, TX
Provider details
- NPI number
- 1104092089
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brandon Johnson, President/Ceo(866) 913-8528
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1200 E Collins Blvd
Suite 110
Richardson, TX 75081-2457
Phone: (866) 913-8528
Fax: (214) 239-1660
Approximate (ZIP-level) locationGet directions
Mailing address
1200 E Collins Blvd
Richardson, TX 75081-2457
Registry dates
- Enumerated
- 2008-05-01
- Last updated
- 2008-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.