| NPI | 1730812967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES J PARADISE Owner / President 817-913-7459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-07-06 |