NPI | 1609120344 |
---|---|
Entity Type | Organization |
Authorized Contact | JENETHA D MORAN Officer / Authorized Official 972-763-3893 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2012-11-02 |
Last Update Date | 2018-03-09 |