| 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 |