| NPI | 1982002911 |
|---|---|
| Doing Business As | INTERNAL MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MIKE BREARD Executive Vice President 318-361-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 013918) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2017-04-27 |