| NPI | 1790213528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JACK FREEMAN Anesthetist 214-502-7062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 255639) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2017-05-24 |