| NPI | 1114412749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRETT P MAYFIELD CEO 817-360-4853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2019-07-01 |