| NPI | 1881800761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENSON A. GRIGSBY President 318-254-2892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: LA 018222) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2023-03-07 |