| NPI | 1497888655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRYSTAL DENISE ROGERS Owne RN Urse Practitioner 318-448-3410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2010-08-20 |