| NPI | 1669767638 |
|---|---|
| Doing Business As | AFFINITY FAMILY PRACTICE & WOUND CARE |
| Entity Type | Organization |
| Authorized Contact | MIKE BREARD Vice President 318-361-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 225100000X Physical Therapist | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2020-05-28 |