| NPI | 1073807376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL LECATES Owner 336-420-7472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2023-01-24 |