| NPI | 1184791287 |
|---|---|
| Doing Business As | THE MEDICAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | MIKE BREARD Vice President 318-361-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD016846) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP04747) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2011-07-05 |