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 |