| NPI | 1326730573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE WARD Sr. VP Finance 318-716-4937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |