| NPI | 1689221020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE WARD Senior VP Finance 318-212-8951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2024-05-06 |