| NPI | 1538106224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KAY HODGES Office Manager 972-234-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |