| NPI | 1609994714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUDY H SANSON Owner 318-387-0641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: LA 017870) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2010-08-04 |