| NPI | 1245964931 |
|---|---|
| Doing Business As | RUSTON PHYSICIAN PRACTICES |
| Entity Type | Organization |
| Authorized Contact | ROCK MATTHEW BORDELON Owner 318-629-3269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| 261Q00000X Clinic/Center | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-09-06 |