| NPI | 1952698144 |
|---|---|
| Other Name | SHANITA WEBB |
| Entity Type | Organization |
| Authorized Contact | KATHI VAVRA Mate RN Al Child Flight Commander 318-630-4817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-11 |