| NPI | 1538402573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK D MOORE CEO/Medical Director 337-706-8986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2019-04-03 |