| NPI | 1063463776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA H DENNY Practice Administrator 512-388-7088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2007-11-01 |