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 |