| NPI | 1336139799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER L INGRAM Owner 318-354-0552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2022-07-21 |