| NPI | 1558793109 |
|---|---|
| Doing Business As | AFFINITY UROLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MIKE BREARD Vice President 318-361-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2021-07-21 |