| NPI | 1104476928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN HERMES CEO 817-692-6313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2022-08-23 |