| 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 |