| NPI | 1306035944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY L JOHNSON Vice President/CFO 254-519-8165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2008-10-06 |