| NPI | 1326465139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS RAY SELLS Owner 985-329-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-07-29 |