| NPI | 1619043916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN HOWARD MCMAHAN President 318-651-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA MD12942R) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |