NPI | 1760598726 |
---|---|
Entity Type | Organization |
Authorized Contact | LACONDRA HUNTER Office Administrator 318-473-9267 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2006-08-22 |
Last Update Date | 2018-05-22 |