| NPI | 1386825172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED T BEVILLE VP Wk Physician Network 318-716-4891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2025-06-02 |