| NPI | 1215138797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE A FOX Pc 512-963-0731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 684050) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |