| NPI | 1720628936 |
|---|---|
| Former Legal Business Name | SOUTHERN GROUP ANESTHESIA PLLC |
| Entity Type | Organization |
| Authorized Contact | RENATA PEREIRA Billing Manager 979-549-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-04-08 |