| NPI | 1568714442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH K ADCOCK Medical Director 318-286-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: LA 08006R) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2013-04-04 |