Organization
MIRA HEALTHCARE OF TENNESSEE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP W EICHENHOLZ MD (PRESIDENT)
(877) 882-9099
Entity
Organization
Contact information
Practice address
111 HIGHWAY 70 E, DICKSON, TN 37055-2080
(615) 446-0446
Mailing address
2000 E. LAMAR BLVD., SUITE 450, ARLINGTON, TX 76006
(877) 882-9099
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/11/2010
Last updated
04/13/2010
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