| NPI | 1033667308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA MARIE BAILEY Administration 972-954-1469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2020-01-13 |