| NPI | 1669922472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARINDA FRUCHTMAN Administrator 972-213-8804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 692757) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: TX 633146) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |