| NPI | 1073104667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN T NGUYEN President 318-272-7926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-06-16 |