| NPI | 1205277456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBE C FANNIN Owner/Provider 765-284-0493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 647336) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-08-26 |