| NPI | 1902274525 |
|---|---|
| Other Name | SBC PHYSICIAN GROUP |
| Entity Type | Organization |
| Authorized Contact | JOHNNY D. LANCASTER CFO 318-841-2619 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 2203781725) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |