| NPI | 1073546792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA DIANNE GARDNER General Partner 214-320-3975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |