| NPI | 1194369439 |
|---|---|
| Doing Business As | SOUTHSTAR URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | ASHLEY BREAUX Controller 337-364-1166 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2020-11-17 |