| NPI | 1528228962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EDWARD BOYKIN President 318-966-6530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA 010982) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |