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 |