| NPI | 1609343185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON VILLARREAL Owner 915-276-9075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-02 |