# NSA PAIN SERVICES OF MICHIGAN, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407229479
- **Authorized official:** MR. KEITH A HALL CPCS (CREDENTIALING MANAGER)
- **Authorized official phone:** (214) 687-0496

## Contact information

- **Practice address:** 6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
- **Practice address phone:** (214) 687-0001
- **Practice address fax:** (972) 518-2100
- **Mailing address:** 6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
- **Mailing address phone:** (239) 610-0775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/12/2015
- **Last updated:** 05/25/2021