| NPI | 1619132784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNIE G ADIAN President 817-790-3198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 238232) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |