| NPI | 1811948037 |
|---|---|
| Doing Business As | PEDICATRICS PLUS, AMC |
| Entity Type | Organization |
| Authorized Contact | MIKE BREARD Vice President 318-361-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2011-07-05 |