| NPI | 1215149331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG J. GAVIN Network Administrator 318-212-4232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2016-12-19 |