| NPI | 1780041749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNSEY BUISSON Registered Nurse First Assistant 214-227-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 008162874) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2019-04-10 |