| NPI | 1497986764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON DAWN BROWN Director 318-382-7296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2023-03-16 |