| NPI | 1306877659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANICA G NELSON Business Manager 318-387-2015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA L014616) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-04-30 |