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EICHENHOLZ, PHILIP WILLIAM
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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| Practice Address: |
NORTHSTAR ANESTHESIA PA
6225 N STATE HIGHWAY 161 SUITE 200
IRVING TX 75038
Address last updated on 12/7/2017 |
| Phone #: |
(214) 687-0001 |
| Fax #: |
(972) 518-2100 |
| County: |
NOT OKLAHOMA |
| License: |
27445 |
| Dated: |
2/1/2010 |
| Expires: |
2/1/2019 |
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Temp.
Lic.
Issued:
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1/14/2010 |
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Temp.
Lic.
Expires:
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3/13/2010 |
| License Type: |
Medical Doctor |
| Specialty: |
Anesthesiology
Critical Care Medicine (Anesthesiology)
Internal Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Duke Univ Sch Of Med, Durham Nc 27710 |
| Graduated: |
5 /
1983 |
| CME Year: |
2019 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF ANESTHESIOLOGY
AMERICAN BOARD OF ANESTHESIOLOGY - Critical Care Medicine
AMERICAN BOARD OF INTERNAL MEDICINE |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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