NPI | 1952083057 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT R COLEMAN CEO 318-473-9556 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207X00000X Orthopaedic Surgery |
Enumeration Date | 2023-08-07 |
Last Update Date | 2023-08-09 |