| NPI | 1396295614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY W LEWIS Owner/Physician 214-618-9622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-12 |