| NPI | 1578733580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANN BECKWITH President 318-651-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA 9098) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |