| NPI | 1083758254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY M. SMITH Chief Financial Officer 318-861-1336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2009-08-27 |