| NPI | 1023185220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASSAD HUSEIN MOUHAFFEL Owner 318-387-1946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA 12175R) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2012-01-09 |