NPI | 1083202022 |
---|---|
Doing Business As | HEALTHCARE SERVICES ON THE GEAUX |
Entity Type | Organization |
Authorized Contact | KIMBREYANA MCDUFFIE Owner/Practitioner 318-666-4131 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2021-01-05 |
Last Update Date | 2021-01-05 |