| NPI | 1841952397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA BYRD CEO 580-536-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2024-03-06 |