| NPI | 1386920833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD JAVED TARIQ Owner 214-705-7749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 698485) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 579608) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 651757) | |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |