| NPI | 1639401946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISHA HALL Biller/Receptionist 870-425-6212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AR E4390) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2010-02-11 |