| NPI | 1174027650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JAMES RANKIN Md/Owner 318-780-9083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD.25685) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2019-11-12 |