| NPI | 1427399195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLA D ROBERTS Office Manager 318-787-0610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP03484) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2024-08-01 |