| NPI | 1851085997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANGY KINCAID THOMAS Owner/CEO 469-750-4025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2024-06-15 |