| NPI | 1730945023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVESH RAJA VERMA Physician 318-289-0546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |