| NPI | 1083826408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL PAUL MAYDEW Sole Proprietor 469-964-0807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX J0589) |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2008-05-18 |