| NPI | 1447876289 |
|---|---|
| Doing Business As | THE HEADACHE CLINIC |
| Entity Type | Organization |
| Authorized Contact | ASHLEY MASON Office Manager 318-664-1817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2021-06-28 |