| NPI | 1447591730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BART TEAGUE Executive Director Of PFS 833-500-9913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2020-06-10 |