| NPI | 1538627740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURESH VALLOPPILLIL Owner Auth Official 214-699-9297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2020-07-02 |