Organization
MID-STATE ENDOSCOPY CENTER LLC
Active
Other names
Anesthesia Services of MState
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HARTSHORN (OFFICER/AUTHORIZED OFFICIAL)
(314) 800-2017
Entity
Organization
Contact information
Practice address
1115 DOW ST, STE A, MURFREESBORO, TN 37130-2487
(615) 848-9234
(615) 893-3188
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(615) 848-9234
(615) 893-3188
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
210
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01044051
RAILROAD MEDICARE
TN
Enumeration date
02/15/2011
Last updated
02/01/2021
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