| NPI | 1689715252 |
|---|---|
| Former Legal Business Name | AEGIS ANESTHESIA, PLLC |
| Entity Type | Organization |
| Authorized Contact | GLEN RAY WYANT Managing Partner 469-300-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2023-10-25 |