| NPI | 1578635892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN R CHAMPAGNE-MILLER Admin Asst 512-225-6345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX 24332) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX L1048) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2013-02-14 |