| NPI | 1053672402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELAYNE CROW First Assistant 214-227-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 246ZC0007X) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2012-06-01 |