Provider Demographics
NPI:1144182304
Name:ANESTHESIA BY GM, P.A.
Entity type:Organization
Organization Name:ANESTHESIA BY GM, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GENOVEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:MATCHETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-676-1919
Mailing Address - Street 1:PO BOX 670193
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75367-0193
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7777 FOREST LN STE D400
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-6899
Practice Address - Country:US
Practice Address - Phone:972-566-6635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-25
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric AnesthesiologyGroup - Single Specialty