Organization
NORTHSTAR ANESTHESIA OF INDIANA LLC
Active
Organization
NORTHSTAR ANESTHESIA OF INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP W EICHENHOLZ MD (MD/CEO)
(682) 227-6849
Entity
Organization
Contact information
Practice address
2000 E LAMAR BLVD, SUITE 400, ARLINGTON, TX 76006
(682) 227-6839
(682) 227-6869
Mailing address
PO BOX 612364, DALLAS, TX 75261-2364
(239) 610-0775
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
09/24/2012
Last updated
05/25/2021
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