| NPI | 1104901297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN G FARRELL Owner 817-294-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 582332) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-08-05 |