| NPI | 1306269360 |
|---|---|
| Doing Business As | FAMILY PRACTICE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DANNY GARNER Practice Manager 318-398-2680 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2016-04-26 |