Southlake Premier Anesthesia, PLLC
NPI 1710524095 · Anesthesiology Physician · Fort Worth, TX
Southlake Premier Anesthesia, PLLC is a Anesthesiology Physician organization in Fort Worth, TX (NPI 1710524095).
Provider details
- NPI number
- 1710524095
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Everly Miller, Credentialing Specialist(210) 996-6363
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Registry dates
- Enumerated
- 2019-12-05
- Last updated
- 2019-12-05
Frequently asked questions
- What is Southlake Premier Anesthesia, PLLC's NPI number?
- Southlake Premier Anesthesia, PLLC's National Provider Identifier (NPI) is 1710524095, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southlake Premier Anesthesia, PLLC?
- Southlake Premier Anesthesia, PLLC is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Southlake Premier Anesthesia, PLLC located?
- Southlake Premier Anesthesia, PLLC's practice location on file with NPPES is 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611.
- What is Southlake Premier Anesthesia, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southlake Premier Anesthesia, PLLC is (210) 996-6363.
- Who is the authorized official for Southlake Premier Anesthesia, PLLC?
- The authorized official listed on Southlake Premier Anesthesia, PLLC's NPPES record is Everly Miller, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southlake Premier Anesthesia, PLLC's NPI active?
- Yes — Southlake Premier Anesthesia, PLLC's NPI (1710524095) is active in the NPPES registry as of the last update on 2019-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.