| NPI | 1003960535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY N. EPPINETTE Office Manager,Co Owner 318-329-4370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA 018471) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |