| NPI | 1346273190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARIFA PANYA BAKER M.D/ Owner 318-487-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD025431) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA MD025432) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-12-28 |