| NPI | 1386178606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY AXLINE Owner/Physician 972-978-6405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |