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 |