| NPI | 1851554885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE S. SHIELDS Office Manager 318-747-4988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA 016819) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |