NPI | 1245480482 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY BUSH RN/Administrator 662-455-4523 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS R792327) |
Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
Enumeration Date | 2008-09-24 |
Last Update Date | 2008-09-24 |