| NPI | 1588622815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BEARD Client Liaison 817-334-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2012-01-03 |