| NPI | 1629475421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA PETROSS Revenue Director 214-687-0675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2021-05-25 |