| NPI | 1962891192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEENA N KHAN Partner 817-516-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |