| NPI | 1902253644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED HOLMES Manager 361-425-5290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 726953) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 726953) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |