| NPI | 1538486246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM ELLIS President 972-937-7240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2010-04-21 |