| NPI | 1184740946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD G HILTON Associate Administrator 662-615-2503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 11-269) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 11-269) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-07-03 |