| NPI | 1780036236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARIE MAUS Owner/ Director 915-779-1716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP114187) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |