| NPI | 1548596158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EJIKEME UCHENNA NWOKOLO CEO 318-469-3678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TN 40592) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |