NPI | 1780893040 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY M SMITH Chief Financial Officer 318-861-1336 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: LA 00203827) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2007-10-12 |