| NPI | 1386165132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MICHELLE DANIELS Manager 832-866-9509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2017-07-02 |
| Last Update Date | 2020-11-10 |