| NPI | 1679078075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES SPICER President 469-559-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2024-07-02 |