NPI | 1821754334 |
---|---|
Doing Business As | OUACHITA BAPTIST UNIVERSITY HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | MOUZON BASS Administrator/Agent 972-367-4845 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2021-11-10 |
Last Update Date | 2021-12-17 |