| NPI | 1932509635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIA KAY LEWIS Owner/President 817-927-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX 40272) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 532304) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |