| NPI | 1942938394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE WARD Sr. VP Of Finance 318-716-4939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-08-12 |