| NPI | 1225258809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANE ROSEN Md Owner 318-222-1149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: LA 022404) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-05-21 |