| NPI | 1144216847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCI MCGRAW CEO 318-336-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 128) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2012-02-16 |