| NPI | 1265396865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL LOWELL PARKER Owner 225-284-7336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2025-12-10 |
| Last Update Date | 2026-04-13 |