| NPI | 1497903611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE J LANGSTON Business Manager 870-232-7309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 174400000X Specialist (Licence: AR E2833) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2024-02-07 |