| NPI | 1144755224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENAUD RODRIQUE Owner/Physician 214-382-4972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |