| NPI | 1679760144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED GROESBECK Vice President 469-682-6742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |