| NPI | 1437340684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN WAYNE GOODYEAR Owner 318-255-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 201086) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |