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 |