| NPI | 1700508173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ROSS TANGUAY Nurse Anesthetist 817-908-7161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2024-05-30 |