| NPI | 1245503119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENTRY LEE HAUGHTON Podiatrist 318-519-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: LA 200048) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2024-07-18 |