| NPI | 1346871480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALIA L STEPHENSON President 972-533-0098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2025-12-20 |