| NPI | 1649371436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK K. HODGES Managing Member 225-246-9253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 07686R) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |