| NPI | 1346871605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L ADAMS Chief Operating Officer 318-797-5848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2021-12-09 |