| NPI | 1891749818 |
|---|---|
| Doing Business As | CRNA-THHEB |
| Entity Type | Organization |
| Authorized Contact | JERRY BOSSBACH Authorized Representative 817-570-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2009-03-27 |