| NPI | 1578743225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEE KILLEN President 985-735-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD009648) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 111N00000X Chiropractor (Licence: LA 1416) | |
| Enumeration Date | 2007-11-10 |
| Last Update Date | 2012-01-23 |