| NPI | 1447134358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP DEBERRY Managing Partner 210-460-9566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |