| NPI | 1831178755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI S KEEN CEO 318-251-6304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine | |
| 204E00000X Oral & Maxillofacial Surgery | |
| 207N00000X Dermatology | |
| 207R00000X Internal Medicine | |
| 207U00000X Nuclear Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2024-02-22 |