NPI | 1275075129 |
---|---|
Entity Type | Organization |
Authorized Contact | CINDER PUCKETT Office Manager 318-675-1313 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA AP08906) |
Enumeration Date | 2016-11-09 |
Last Update Date | 2016-11-09 |