| NPI | 1841315421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHAYAS AHMED QURESHI President 337-981-0268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA MD11742R) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2014-04-12 |