NPI | 1508064296 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES MICHAEL SMITH Owner 318-281-5600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA 014425) |
Enumeration Date | 2007-07-05 |
Last Update Date | 2014-06-16 |