| NPI | 1922393024 |
|---|---|
| Doing Business As | THE MEDICAL OFFICE NORTH |
| Entity Type | Organization |
| Authorized Contact | MIKE BREARD Vice President 318-361-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-07-05 |