| NPI | 1417371899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY HAWTHORNE M.D./Owner 318-613-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |