| NPI | 1790967826 |
|---|---|
| Doing Business As | HUSAM SUKEREK, MD |
| Entity Type | Organization |
| Authorized Contact | HUSAM SUKEREK Operations Manager 318-256-5722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2008-06-02 |