| NPI | 1396024956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA L SMITH Member 318-469-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 637818) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |