| NPI | 1457320897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG J. GAVIN Network Administrator 318-212-5343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 011602) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2007-12-13 |