NPI | 1457130635 |
---|---|
Doing Business As | THE QUAD |
Entity Type | Organization |
Authorized Contact | CAROLINE JURISICH Owner 318-572-5222 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2023-09-26 |
Last Update Date | 2023-10-02 |