| NPI | 1508144700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RAY COX Chief Executive Officer 225-588-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |