| NPI | 1700218989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L PETROSS Revenue Cycle Director 817-593-7421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2021-05-25 |