| NPI | 1003191867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN M CONNER Director Of Client Solutions 318-255-7591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-12 |