OrganizationActive
Addison Headache Associates, LLC
NPI 1407276793 · Certified Registered Nurse Anesthetist · Addison, TX
Provider details
- NPI number
- 1407276793
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tracy Walls, Manager(972) 234-4740
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Practice location
17051 Dallas Pkwy
Ste 100
Addison, TX 75001-7101
Phone: (469) 916-0521
Fax: (972) 231-7095
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 674183
Dallas, TX 75267-4183
Registry dates
- Enumerated
- 2014-04-24
- Last updated
- 2016-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.