| NPI | 1003439480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN CRABB Owner 915-227-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-10-22 |