| NPI | 1073716189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY W. THORNHILL Practice Manager 318-377-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA md024062) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2011-08-03 |