| NPI | 1720852205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LOUIS DELILLO Sole Mbr 817-966-2762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-12-19 |