| NPI | 1992048177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER AUER BLACK Md/Owner 318-210-3315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 200722) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2016-03-21 |