| NPI | 1336439553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA PYLANT GREMILLION Owner 318-323-8799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA 026501) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2018-07-12 |