| NPI | 1225211089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCO A RAMOS President 318-635-2086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA 015523) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |