| NPI | 1073282216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT STOCKMAN CEO 936-254-4703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2021-12-16 |