| NPI | 1821819665 |
|---|---|
| Doing Business As | ALLEGIANCE MEDICAL CLINIC NORTHSIDE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | KATHY M HALL CEO 318-254-2450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |