| NPI | 1255198024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY JOLLEY National Credentialing 713-458-4169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |