| NPI | 1477681385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID VANDERMOLEN Director 318-212-8270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |