| NPI | 1255840658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY D CROW Sole Owner 918-549-5596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 73665) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |