| NPI | 1689766271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY K. BROADWELL CEO 318-221-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: LA 13598) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2010-07-19 |