| NPI | 1497832174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ANTHONY FREDERICK Authorized Representative/Owner 972-840-2804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX L6044) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-01-10 |