| NPI | 1710699517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA LEWIS Manager 214-618-9613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2022-12-23 |