| NPI | 1104803089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY WEATHERFORD Practice Administrator 972-937-7240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2008-09-11 |