| NPI | 1184052789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN L ELKINS Medical Director 318-441-2220 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA MD13101R) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |