| NPI | 1720589310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA ALANIZ Credentialing Coordinator 469-218-0666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP119189) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |