| NPI | 1003228768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES NEFF Director 817-485-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2016-04-28 |