| NPI | 1609283019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA L FORHAN Owner 915-592-5484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP102031) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |