| NPI | 1508358110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT TODD RICKMAN Member 318-525-3934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |