| NPI | 1962918219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON BARNES Admin 972-872-8408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX RN604098) |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2021-08-31 |