NPI | 1760538326 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA CAMILLE BUNCH President 318-388-0114 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 018178) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2011-03-16 |