NPI | 1902256233 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHNNY LEE WHITE President 877-750-1027 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX G1581) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2016-06-17 |
Last Update Date | 2016-06-17 |