Organization
NSA PAIN SERVICES OF MICHIGAN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH A HALL CPCS (CREDENTIALING MANAGER)
(214) 687-0496
Entity
Organization
Contact information
Practice address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(214) 687-0001
(972) 518-2100
Mailing address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(239) 610-0775
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/12/2015
Last updated
05/25/2021
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