| NPI | 1881341824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BOYD Practice Manager 682-478-8123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-03-09 |