| NPI | 1710794060 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DAVID MILLER PHILIPS President 318-631-9121 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered | 
| Enumeration Date | 2024-12-11 | 
| Last Update Date | 2024-12-11 |