| NPI | 1578170957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JOSEPH Owner/Authorized Official 469-955-9593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |