| NPI | 1669737615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SEROTA Owner 214-219-3747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2015-08-20 |