| NPI | 1053719542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GLENN WALKER President 432-488-6909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 30256) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2014-12-15 |