| NPI | 1124415567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA LUMBLEY President 214-687-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2023-10-10 |