| NPI | 1275230443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WHITE Authorized Official 318-675-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-02-08 |