| NPI | 1477888774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD HOGAN Sr VP & CFO 318-966-7369 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2010-02-09 |