OrganizationActive
Aspen Anesthesia Management, LLC.
NPI 1649708520 · Pain Medicine (Anesthesiology) Physician · Southlake, TX
Provider details
- NPI number
- 1649708520
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tracy Walls, President(972) 234-4740
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
3065 W Southlake Blvd
Southlake, TX 76092-6730
Phone: (972) 234-4740
Fax: (972) 231-7095
Street-level locationGet directions
Mailing address
Po Box 674436
Dallas, TX 75267-4436
Registry dates
- Enumerated
- 2017-05-23
- Last updated
- 2017-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.