NPI | 1649564824 |
---|---|
Doing Business As | THE HEALTH HUT |
Entity Type | Organization |
Authorized Contact | JACKIE K WHITE Medical Director 318-513-1212 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2011-06-05 |
Last Update Date | 2017-03-31 |