| NPI | 1487932406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN C STEHR Owner 318-441-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA MD.204312) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2012-03-04 |