NPI | 1023062718 |
---|---|
Entity Type | Organization |
Authorized Contact | H JERREL FONTENOT President 318-322-1339 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2006-05-19 |
Last Update Date | 2014-04-15 |