| NPI | 1487608691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE FONTENOT Administrator 281-580-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2007-08-23 |