| NPI | 1295030716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DALLAS THOMASON Medical Psychologist 318-322-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA MP.0013) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |