| NPI | 1528616042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIAO-EN FANG Owner/Auth Official 214-642-0760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2023-12-28 |