| NPI | 1720040603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE FUCIARELLI Vice President For Finance And Admi 915-215-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2019-11-06 |