| NPI | 1376910240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG J GAVIN Network Administrator 318-212-5780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |