| NPI | 1750558789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CLAYTON WOOLDRIDGE President 318-283-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: LA 13859) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |