| NPI | 1497894620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA Y GONZALEZ Owner 318-338-3540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 11314R) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 11314R) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2012-12-30 |