Organization
NORTHSTAR ANESTHESIA OF KENTUCKY II, PLLC
Active
Organization
NORTHSTAR ANESTHESIA OF KENTUCKY II, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP EICHENHOLZ MD (PRESIDENT)
(214) 687-0008
Entity
Organization
Contact information
Practice address
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836-7402
(214) 687-0001
(972) 518-2100
Mailing address
6225 N STATE HIGHWAY 161, SUITE 200, IRVING, TX 75038-2223
(214) 687-0001
(972) 518-2100
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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