| NPI | 1417287814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY M ICE President 432-697-5865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 648252) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2012-12-28 |