| NPI | 1942504048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONNA PARKS C RN A 325-262-2581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 052478) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |