| NPI | 1891225330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULI SMITH Credentialing COO Rdinator 817-330-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |