| NPI | 1902136328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURY K MORRISON Member/Manager 318-623-9064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 020642) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-01-07 |