| NPI | 1932533882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL SCOTT WINSTEAD Owner 985-601-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 025020) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2014-02-19 |