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 |