| NPI | 1609260157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL M PEAL Physician Owner/President 501-558-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AR E1660) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |