| NPI | 1013008895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLLIS C JOHNSON Owner 817-294-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 228850) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 228850) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2011-11-07 |