NPI | 1093266629 |
---|---|
Entity Type | Organization |
Authorized Contact | BRITTNEY WHITLOCK Credentialing Specialist 318-325-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 04826) |
Enumeration Date | 2016-10-19 |
Last Update Date | 2016-10-19 |