| NPI | 1174873087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY FISCHER Credentialling Coordinator 806-761-0329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NM MD2005-0851) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |