| NPI | 1013265552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE AVILA-HERNANDEZ Director 915-779-1716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2013-07-30 |