| NPI | 1003297227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE BREARD Executive Vice President 318-361-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology | |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 208600000X Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-08-21 |