| NPI | 1902103294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY DON STEVENS President 325-260-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 663187) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-02-22 |