| NPI | 1013449750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A RUSSELL CEO 512-413-2425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |