| NPI | 1881764827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC DESOLER President 318-327-4617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: LA 10844R) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: LA 08063R) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |