| NPI | 1053796565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD W FRICK Managing Member 225-387-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2015-07-26 |
| Last Update Date | 2015-07-26 |