NPI | 1073365094 |
---|---|
Doing Business As | INJURYMD BOSSIER |
Entity Type | Organization |
Authorized Contact | BRADY CRENSHAW Chief Administrative Officer 318-751-9100 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
261QX0100X Clinic/Center, Occupational Medicine | |
Enumeration Date | 2024-04-03 |
Last Update Date | 2024-04-03 |