| NPI | 1598949661 |
|---|---|
| Other Name | ANT |
| Entity Type | Organization |
| Authorized Contact | LAURIE R STAFFORD Administrator 817-265-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2020-12-10 |