| NPI | 1063400075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SCOTT COOPER President 903-675-1186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2014-07-17 |