| NPI | 1396914206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN REID CRIDER Incorporator 318-329-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: LA MD 14000R) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2009-11-03 |