| NPI | 1629146006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER MAYFIELD HOLLOWAY Physician 318-932-8937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 199935) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2012-07-24 |