| NPI | 1972704872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY G PROFFER Owner 806-351-1560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX M0872) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-12-03 |