| NPI | 1780990812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA MARIE WRYE Credentialing Coordinator 972-234-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35-066730) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |