| NPI | 1487696159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES T PORTER Owner 512-753-3627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2008-01-28 |