| NPI | 1487046835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS CRENSHAW Owner 318-466-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA RN089438) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2016-10-11 |