| 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 |