| NPI | 1245632892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI BARNES Owner 469-563-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208600000X Surgery |
| 261QG0250X Clinic/Center, Genetics | |
| 261QR0200X Clinic/Center, Radiology | |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2020-06-15 |