| NPI | 1295050235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BRACEY LLC Manager 318-868-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: LA MD.025069) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2011-10-10 |