Organization
NORTHSTAR ANESTHESIA II PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP W EICHENHOLZ MD (PRESIDENT)
(214) 687-0008
Entity
Organization
Contact information
Practice address
11801 SOUTH FWY, BURLESON, TX 76028-7021
(817) 293-9110
Mailing address
PO BOX 224563, DALLAS, TX 75222-4563
(239) 610-0775
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
11/13/2017
Last updated
05/25/2021
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