| NPI | 1487840310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L HAWTHORNE Owner 985-872-6210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 024538) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-11-19 |