| NPI | 1336935618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANDREWS Administrator 318-303-4019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2026-02-17 |