Organization
NORTHSTAR ANESTHESIA OF NEBRASKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN P WOODS MD (CHIEF MEDICAL OFFICER)
(214) 687-0015
Entity
Organization
Contact information
Practice address
4021 AVENUE B, SCOTTSBLUFF, NE 69361-4602
(308) 635-3711
Mailing address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(239) 610-0775
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/04/2020
Last updated
05/25/2021
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