| NPI | 1326220955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURESH KUMAR Owner 318-865-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: LA MD204501) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |