| NPI | 1164691200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MASICA Secretary/Member 956-358-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |