| NPI | 1497451124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW LINGER Administrative Partner 318-200-0308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2023-02-03 |