NPI | 1396879490 |
---|---|
Entity Type | Organization |
Authorized Contact | PERCY THOMAS CAUSEY Owner 318-338-3525 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 020118) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2012-03-13 |