| NPI | 1134884240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY SMITH Owner/Auth Official 214-629-3576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |