| NPI | 1003575838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HOWARD Sr VP Of Administrative Services 337-408-0797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2023-10-02 |