NPI | 1578912671 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY WALLS President 972-234-4740 |
Organization Subpart ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
Enumeration Date | 2016-06-09 |
Last Update Date | 2016-06-09 |