| NPI | 1306875547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD FLAHERTY Owner 915-779-1716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2008-08-14 |