| NPI | 1750544367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMMY MCMAHON Administrator 325-949-9555 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2018-12-05 |