NPI | 1275010712 |
---|---|
Doing Business As | TOLEDO BEND EXPRESS CARE |
Entity Type | Organization |
Authorized Contact | ROCK BORDELON CEO 318-226-8202 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2018-07-27 |
Last Update Date | 2022-10-14 |