| NPI | 1912275348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN SHORT Director Of Provider Services 972-715-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2012-02-22 |