| NPI | 1962965814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECE PANNELL Billing Manager 817-294-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |