| NPI | 1609324946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY SMITH Partner 214-629-3576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |