| NPI | 1962837906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY H JUNG Authorized Representative 512-796-4847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-10-18 |