NPI | 1265840268 |
---|---|
Entity Type | Organization |
Authorized Contact | GREG J GAVIN Network Administrator 318-212-8780 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Enumeration Date | 2014-07-23 |
Last Update Date | 2014-07-23 |