| NPI | 1881877835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MCCLUNG Administrator 318-232-7700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |