| NPI | 1275985012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H FAIRBANKS Owner 318-336-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: LA 017268) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA 017268) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2017-02-07 |