| NPI | 1376592329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BEARD Client Liason 817-334-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2010-12-28 |