| NPI | 1497282594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULI M SMITH Credentialing COO Rdinator 817-330-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2022-07-21 |