NPI | 1821034679 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD J. MICHAEL Md 318-935-6177 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 14448R) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 13626R) |
208000000X Pediatrics (Licence: LA 13626R) | |
Enumeration Date | 2006-06-21 |
Last Update Date | 2015-08-04 |