| 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 |