| NPI | 1992174304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MICHELLE HARPER Anesthesia Program Manager 972-713-3547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-17 |