| NPI | 1578989505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EARL PRUETT President/Owner 318-325-5435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA MD.204452) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-10-22 |