| NPI | 1346510872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND ROMO Director Of Provider Services 972-715-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2015-02-12 |