| NPI | 1255032033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POPPY WALKER Practice Administrator 325-660-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-03-17 |