| NPI | 1598622573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE GREENE Owner 817-451-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2026-01-09 |
| Last Update Date | 2026-01-09 |