| NPI | 1811199185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA L PITTMAN Reimbursement Accountant 318-966-7279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2008-09-10 |