NPI | 1366121220 |
---|---|
Doing Business As | ALLEGIANCE INTEGRATED CARE |
Entity Type | Organization |
Authorized Contact | ROCK BORDELON CEO 318-226-8202 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2023-07-17 |
Last Update Date | 2023-07-17 |