| NPI | 1154705283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECE PANNELL Office Manager 817-294-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 757630) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |