| NPI | 1578737763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES C UGOKWE Medical Doctor 318-473-0773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: LA 13814R) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |