| NPI | 1700761749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HOLMES Chief Operating Officer 318-402-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-08-08 |