| NPI | 1558404905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON T BALDWIN Owner President 318-435-4084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA 6952) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |