| NPI | 1972551372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS COLEMAN BROWN Owner 318-323-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA MD.03179R) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-11-09 |