| 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 |