| NPI | 1942549092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HELEN MAHAN Nurse Practitioner 318-235-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: LA 119937) |
| Enumeration Date | 2013-02-10 |
| Last Update Date | 2013-02-10 |