| NPI | 1821707084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARIE BENANDI Owner 318-322-7798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2023-02-07 |