| NPI | 1659413888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANOS G GUOTH Staff Physician 318-281-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA 14422R) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |