| NPI | 1619201043 |
|---|---|
| Doing Business As | TRI LAKES MEDICAL CENTER HOSPITALIST |
| Entity Type | Organization |
| Authorized Contact | MICHAEL R. HAVENS CEO 662-563-5611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MS 13-287) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |