| NPI | 1447072681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB CADE MCSHARMA CEO 318-458-6245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |