| NPI | 1265971907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CLINTON WHITACRE C RN A 915-544-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |