| NPI | 1780848580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG J GAVIN Network/Administrator 318-212-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2012-06-12 |