| NPI | 1770861288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID O'NEAL Sole Member 318-396-2715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.201227) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-10-26 |