NPI | 1205036274 |
---|---|
Entity Type | Organization |
Authorized Contact | RHONDA P BURDEAUX Owner 318-396-6807 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA APO4819) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2009-08-17 |