| NPI | 1801205802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE WARD Sr. VP Of Finance 318-716-4937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2021-07-21 |