| 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 |