| NPI | 1144432204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN A WEEMS Office Manager 318-323-8824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |