NPI | 1386793370 |
---|---|
Entity Type | Organization |
Authorized Contact | RAYMOND E HAIK Medical Director Owner 318-325-2610 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 111) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2008-05-06 |