| NPI | 1538350046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E KINSTREY Owner/Physician 318-688-0319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA 05118R) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2011-09-01 |