NPI | 1669455226 |
---|---|
Entity Type | Organization |
Authorized Contact | GREG J. GAVIN Network Administrator 318-212-4571 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2005-11-28 |
Last Update Date | 2012-06-08 |