| NPI | 1679128292 |
|---|---|
| Doing Business As | FPHSA PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | THOMAS CASSEN ARTHUR Accountant 985-543-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |