NPI | 1063862340 |
---|---|
Entity Type | Organization |
Authorized Contact | JANNA CRUEY ROARK Facility Administrator 318-212-0552 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA MD.016818) |
Enumeration Date | 2016-06-16 |
Last Update Date | 2016-06-16 |