| NPI | 1467977934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M BANISTER Owner/Authorized Official 806-683-9251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2020-01-16 |