| NPI | 1982659744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M HALL Director 318-448-6768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA 754303002006) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2009-04-20 |