| NPI | 1477078202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J. SCHANGE Manager 409-838-5214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2018-01-12 |