| NPI | 1518719483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EKARA WAFER-MENDENHALL CEO/ Owner 318-265-4542 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-12-26 |