| NPI | 1871918342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH W. SANDERS Md 318-469-1956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| Additional Taxonomies | 207YS0012X Otolaryngology, Sleep Medicine |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |