NPI | 1275712739 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD E HOGAN Sr. Vice President And CFO 318-327-7369 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: LA 157) |
Enumeration Date | 2007-10-31 |
Last Update Date | 2008-10-28 |