| NPI | 1396022927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERIE L BURSON Manager 972-276-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-11 |