| NPI | 1114388451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE CANDELARIO Director 512-551-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |