| NPI | 1295872992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN RICHARD AUCOIN Vice President/Treasurer 318-443-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2019-10-10 |