| NPI | 1417986092 |
|---|---|
| Doing Business As | DBA FAMILY HEALTH PLAZA |
| Entity Type | Organization |
| Authorized Contact | BRIAN KIRK Vice President 337-289-8951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2013-04-15 |