| NPI | 1962874727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY MCGILL Dir Of Network Development 972-215-7410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2016-06-06 |