| NPI | 1912342858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO BACA Owner/Nurse Practitioner 337-740-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA AP05604) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-12-16 |