| NPI | 1962770404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO R HERRERA Md/Vice President Treasurer 817-810-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2013-08-30 |