| NPI | 1982670923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA SATERFIEL CEO 318-322-9252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2018-09-27 |