| NPI | 1881709780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUDDY R NIELSEN Md 361-573-2481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2016-08-18 |