| NPI | 1437281367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN WAYNE GOODYEAR Doctor 318-255-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: LA MD.201086) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2023-03-07 |