| NPI | 1689104796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY SMITH Owner/Auth Official 214-629-3576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2018-03-17 |