| NPI | 1609366053 |
|---|---|
| Doing Business As | AFFINITY UROLOGY CLINIC2 |
| Entity Type | Organization |
| Authorized Contact | JANET L JUSTICE Director Of Operations 318-998-3426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2021-07-21 |