| NPI | 1821328493 |
|---|---|
| Doing Business As | SOUTHLAKE ANESTHESIA |
| Entity Type | Organization |
| Authorized Contact | ISIDRA VEVE Owner 817-442-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M7726) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX M7726) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2014-06-03 |