| NPI | 1134803869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM D LONG Medical Director 318-792-6589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2023-06-13 |