| NPI | 1730808866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER RENEE RACHAL Nurse Practitioner/Co Owner 318-729-4265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2025-12-09 |