NPI | 1205266632 |
---|---|
Doing Business As | OUACHITA PROCEDURE CENTER |
Entity Type | Organization |
Authorized Contact | JERRY EDGIN CEO 501-624-6000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
Additional Taxonomies | 207RN0300X Internal Medicine Nephrology |
Enumeration Date | 2013-11-21 |
Last Update Date | 2019-09-25 |