| NPI | 1366976441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MORNINGSTAR Owner 817-294-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 680673) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX K7696) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2022-12-14 |