| NPI | 1811952690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE J DREXLER Owner President 318-222-8187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-08-22 |