| NPI | 1336444744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCY ELAHI-NEAL President 318-680-1916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2017-09-26 |