| Mr Chalon Hollas, CRNA | |
|
220 Hollywood Dr, Coppell, TX 75019-7308 | |
| (682) 365-4872 | |
| Not Available |
| Full Name | Mr Chalon Hollas |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 220 Hollywood Dr, Coppell, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477967131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP125738 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Pain And Wellness Pa | 1557378601 | 14 |
| Dallas County Hospital District | 8325934813 | 597 |
| Entity Name | Dallas County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649278995 PECOS PAC ID: 8325934813 Enrollment ID: O20040315000583 |
| Entity Name | American Pain & Wellness PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306857305 PECOS PAC ID: 1557378601 Enrollment ID: O20060314000575 |
| Entity Name | Hollas Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154705283 PECOS PAC ID: 9032422050 Enrollment ID: O20150721000328 |
| Entity Name | Go Anesthesiology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649768011 PECOS PAC ID: 0345679726 Enrollment ID: O20200406002939 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Chalon Hollas, CRNA Po Box 2626, Fort Worth, TX 76113-2626 Ph: (817) 294-7444 | Mr Chalon Hollas, CRNA 220 Hollywood Dr, Coppell, TX 75019-7308 Ph: (682) 365-4872 |
James Miller Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2999 Olympus Blvd Ste 500, Coppell, TX 75019 Phone: 866-871-8519 |