| NPI | 1114187713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA ALBRITTON FRIEDRICH Md/Owner 318-221-8395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA 016827) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-17 |