| NPI | 1386796175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD M STELL Proprietor 318-377-2885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA 019384) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-05-20 |