| NPI | 1396022034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA G CUMMINGS Owner, Provider 318-649-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-23 |