| NPI | 1013374222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITZI GREEN Director 318-626-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| 207L00000X Anesthesiology | |
| 207P00000X Emergency Medicine | |
| 207R00000X Internal Medicine | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208600000X Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2023-06-28 |