| NPI | 1962856591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK JAMES BRUSCIA Managing Member 469-400-4217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q7656) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2018-07-20 |