| NPI | 1487949814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD LIPPTON Manager 318-617-6029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: LA 017954) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |