| NPI | 1801242441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA MILLER Admin 972-937-6277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 236996) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-17 |