| NPI | 1922461003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M ELLIS Md/Owner 318-308-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: LA DO.020195) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |