| NPI | 1427228063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN E KAUTZ President/Owner 318-352-7768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 15485R) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2022-08-05 |