| NPI | 1023062718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H JERREL FONTENOT President 318-322-1339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2014-04-15 |