| NPI | 1588476022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED THOMAS BEVILLE VP Physician Network 318-716-4939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |