NPI | 1104887538 |
---|---|
Entity Type | Organization |
Authorized Contact | EMILE ANTHONY BARROW President/Owner 318-361-9900 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: LA LO11453) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA APO3699) |
Enumeration Date | 2006-03-28 |
Last Update Date | 2007-07-10 |