NPI | 1902850035 |
---|---|
Doing Business As | ABRAHAM MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | MIKE BREARD Vice President 318-361-0900 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-05-22 |
Last Update Date | 2011-12-07 |