# NORTHSTAR ANESTHESIA OF MICHIGAN III PLLC

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

## Provider details

- **NPI number:** 1972126209
- **Authorized official:** DR. BRIAN P WOODS MD (PRESIDENT, CLINICAL SERVICES)
- **Authorized official phone:** (214) 687-0001

## 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) 518-0001
- **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 |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 05/21/2020
- **Last updated:** 05/25/2021