| NPI | 1407236714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S CHANLER M.D./Owner 318-377-2885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD.024145) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-12-16 |