| NPI | 1588949226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIANA WILLIAMS Nurse Practitioner 318-235-7033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA RN094823-AP05552) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-12-09 |