| NPI | 1326064742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R THEARD Managing Member 337-289-2966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2008-03-28 |