| NPI | 1154668085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE BRANNIGAN Credentialing Manager 361-985-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-01-11 |