| NPI | 1750916169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY M GREEN President/CEO 806-206-6942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |