| NPI | 1316413560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD MOUSA Physician/Owner 318-387-3453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-15 |