| NPI | 1275806465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA GARCIA WATSON CEO/Doctor 318-458-8976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA 1646) |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-02-17 |