| NPI | 1043247562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MURALIDHAR SANTAPURAM Owner 270-651-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2019-05-20 |