| NPI | 1376128785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUNG HA Owner/Authorized Official 469-913-6136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-17 |