| NPI | 1174808794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY D. CASEY President 318-795-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: LA L14095R) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |