| NPI | 1538964770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFEREY ADAIR Doctor 318-841-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-21 |