| NPI | 1306917240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA LYNN SANDERS Office Manager 318-797-5602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0012X Otolaryngology, Sleep Medicine (Licence: LA 022757) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: LA 022757) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-12-28 |