NPI | 1649993585 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID JONES CEO 318-375-4001 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2022-09-26 |
Last Update Date | 2024-12-09 |