| NPI | 1750611356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY P CHAPMAN Office Manager 318-388-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA AP04834) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: LA AP05769) |
| 207R00000X Internal Medicine (Licence: LA 18470) | |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-03-11 |