| NPI | 1457873390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER M GANO Owner 214-244-9101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LC0200X Anesthesiology, Critical Care Medicine | |
| 208600000X Surgery | |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2022-07-21 |