| NPI | 1679851893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG J. GAVIN Network Administrator 318-424-4232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2012-10-16 |