NPI | 1275706574 |
---|---|
Entity Type | Organization |
Authorized Contact | JANICE ROSE PHARR Physician/Owner 318-323-0362 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA MD015992) |
Enumeration Date | 2008-04-08 |
Last Update Date | 2008-04-08 |