| NPI | 1326196288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS WOODELL Administrator 817-334-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-10-05 |