| NPI | 1861735425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY J. BREAUX Sole Member 936-639-3036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2013-04-02 |