| NPI | 1639389026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINSTON E MOORE President 318-797-1743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: LA 015590) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-11-17 |