Provider First Line Business Practice Location Address:
6225 N STATE HIGHWAY 161 STE 200
Provider Second Line Business Practice Location Address:
NORTHSTAR ANESTHESIA PA
Provider Business Practice Location Address City Name:
IRVING
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75038-2241
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-687-0001
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/02/2015