| NPI | 1346012028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY BLANC Manager 214-490-0988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2026-08-03 |