MIRA HEALTHCARE OF TENNESSEE, PLLC

DICKSON, TN
NPI1588996805
Entity TypeOrganization
Authorized ContactPHILIP W EICHENHOLZ
President
877-882-9099
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
Enumeration Date2010-02-11
Last Update Date2010-04-13
Business Address
MIRA HEALTHCARE OF TENNESSEE, PLLC
111 HIGHWAY 70 E
DICKSON, TN 37055-2080
Phone number: 615-446-0446
Mailing Address
MIRA HEALTHCARE OF TENNESSEE, PLLC
2000 E. LAMAR BLVD. SUITE 450
ARLINGTON, TX 76006
Phone number: 877-882-9099
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