| NPI | 1104194562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK KOONS Partner 281-218-9515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2012-11-13 |