| NPI | 1609065275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J RANKIN Md/Sole Owner 318-213-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 25685) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2010-09-27 |