| NPI | 1851783955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED BEVILLE VP Physician Network 318-716-4891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2024-09-10 |