| NPI | 1194813089 |
|---|---|
| Other Name | SHELYNA THAWER-RICE |
| Entity Type | Organization |
| Authorized Contact | SHELYNA RICE Owner 318-255-5141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: LA 918853377) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-06-18 |