| NPI | 1568614881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD L BOLNICK CEO 903-663-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2008-10-17 |