| NPI | 1447533831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA L BAKER Practice Manager 903-885-9758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |