| NPI | 1215232418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN WESLEY TAYLOR Nurse Anesthetist 318-372-9207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |