| NPI | 1124126115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A ODOM Owner 956-725-4003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 221707) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |