| NPI | 1184817827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREY EDWARD EARLY Owner President 270-846-4616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2022-07-21 |