| NPI | 1043374291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH R ANDERSON-DOZE Owner 318-382-1976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 12209R) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |