| NPI | 1457169773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED DEAN ANDERSON Owner 512-762-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2024-12-19 |