Organization
TRI-STAR ANESTHESIA P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR L MARTIN CRNA (MANAGING PARTNER)
(615) 329-9023
Entity
Organization
Contact information
Practice address
310 25TH AVE N, SUITE 105, NASHVILLE, TN 37203-1515
(615) 329-9023
Mailing address
PO BOX 16068, HIGH POINT, NC 27261-6068
(336) 882-4615
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3632631
—
TN
Enumeration date
06/26/2006
Last updated
08/22/2020
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