| NPI | 1750335618 |
|---|---|
| Doing Business As | CRNA-PHD |
| Entity Type | Organization |
| Authorized Contact | MARK TERESI Authorized Representative 214-345-7173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2008-03-06 |