| NPI | 1649617259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE CHAMBLESS Office Manager 318-323-1809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA MD.205866) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2014-02-17 |