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 | 2020-01-16 |