| NPI | 1457740672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M SUTHERLAND Officer 903-593-1738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |