| NPI | 1548487804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY EBRAHIM Administrator 318-222-1149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: LA 08279r) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |