| NPI | 1699081745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY M TSANG General Manager 228-273-4096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MS W0714282) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-09-02 |