| NPI | 1760908404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN TODD HANCOCK President/CEO 903-315-4129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2022-07-21 |