| NPI | 1922441815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANNA VILLARREAL Admin 214-295-6703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |