| NPI | 1659836559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CALHOUN Family Medicine Physician 318-816-9055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2024-11-15 |