| NPI | 1548219520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG GAVIN Network Administrator 318-212-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2008-01-22 |