| NPI | 1669422796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE ALLEN VP Ancillary Services 318-212-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 232) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2008-01-15 |